Kick-off Materials

Presentations

• Welcome and Introduction – Jennifer Kopke, M.A., LAC, DHH Assistant Secretary, Office of Mental Health
• Aim and Focus of the Collaborative and an Overview of the Chronic Care Model – Dr Harold Pincus
• Depression in Primary Care: Decision Support for Chronic Care Model – Dr Steve Cole
• Systems Support: Care Management Protocols, Disease Registries, and Other Tools – Dr Amy Kilbourne
• The Model for Improvement – Dr Karen Scott Collins
• Building and Sustaining Relationships between Primary and Behavioral Healthcare – Dr Harold Pincus and Dr Amy Kilbourne
• Quality Improvement Part 2 – Dr Karen Scott Collins
• Mental Health Measures in Real Life Settings – Dr Steve Cole
• Clinical Content Engagement and Self Management – Jeanie Knox-Houtsinger
• Introduction to Brief Action Planning (B.A.P.) ™: An Application of Motivational Interviewing© -Steven Cole, MD

Chronic Care Model

• Overview

• Video presentation – Edward Wagner, MD, MPH

Toolkits

• Adult Depression Toolkit
• Child, Adolescent Depression Toolkit (coming soon)
• PTSD Toolkit (coming soon)
• Patient Self-Management Toolkit
• Patient Engagement Toolkit
• Care Management Toolkit

• Quality Improvement Toolkit

Community Resources

Louisiana Spirit Resource Guide for New Orleans Metro Area

Articles

Contact Jayne Nussbaum for more information about these articles.

Integrating Mental Health into Primary Care: A Global Perspective
World Health Organization Report

Depression in Primary Care: Learning Lessons in a National Quality Improvement Program
Harold Alan Pincus, Constance Pechura, Donna Keyser, John Bachman, Jeanine Knox Houtsinger

Abstract
In this introduction, we describe the overall context and rationale for the Depression in Primary Care program and the design and implementation of its key components, especially emphasizing its unique combined clinical and economic/systems framework. We also discuss some of the new challenges and opportunities that may impact the programs evolution and the state of behavioral health care more generally. We conclude with some thoughts on potential future scenarios and strategies for improving the quality of behavioral health care, including the treatment of depression in primary care.

The Role of Clinical Information Technology in Depression Care Management
Amy M. Kilbourne, Gretchen Flanders McGinnis, Bea Herbeck Belnap, Michael Klinkman, Marshall Thomas

Abstract
We examine the literature on the growing application of clinical information technology in managing depression care and highlight lessons learned from Robert Wood Johnson Foundations national program “Depression in Primary Care-Incentives Demonstrations.” Several program sites are implementing depression care registries. Key issues discussed about implementing registries include using a simple yet functional format, designing registries to track multiple conditions versus depression alone (i.e., patient-centric versus disease-centric registries) and avoiding violations of patient privacy with the advent of more advanced information technologies (e.g., web-based formats). Finally, we discuss some implications of clinical information technology for healthcare practices and policy makers.

Translating Evidence-Based Depression Management Services to Community-Based Primary Care Practices
Amy M. Kilbourne, Herbert C Schulberg, Edward P Post, Bruce L Rollman, Bea Herbeck Belnap, Harold Alan Pincus

Abstract
Randomized controlled trials have demonstrated the efficacy and cost-effectiveness of using treatment models of major depression in primary care settings. Nonetheless, translating these treatment models into enduring changes in routine primary care has proven difficult. Various health system and organizational barriers prevent the integration of these models into primary care settings. This article discusses barriers to introducing and sustaining evidence-based depression management services in community-based primary care practices and suggests organizational and financial solutions based on the Robert Wood Johnson Foundation Depression in Primary Care Program. It focuses on strategies to improve depression care in medical settings based on adaptations of the chronic care model and discusses the challenges of implementing evidence-based depression care given the structural, financial, and cultural separation between mental health and general medical care.

Translating Evidence-Based Depression Management Services to Community-Based Primary Care : Implementation of Guideline-Based Care for Depression in Primary Care
Bruce L. Rollman, Linda Weinreb, Neil Korsen, and Herbert C. Schulberg

Abstract
Evidence-based clinical practice guidelines for treating depression in primary care settings were developed, in part, to ensure that health services are provided in a consistent, highquality, and cost-effective manner. Yet for a variety of reasons, guideline-based primary care for depression remains the exception rather than the rule. This work provides a brief review of effective strategies used to customize and then deliver evidence-based treatment for depression in primary care settings; describes two representative case studies that illustrate locally customized collaborative care strategies for treatment delivery; and concludes with principles and implications for policy and practice based on our practical experiences.