Background

Collaborative Care Implementation in Washtenaw County, Michigan

The Michigan Medicine Department of Psychiatry successfully implemented the Collaborative Care model (CoCM) in four safety-net clinics in Washtenaw County, as a part of the Tailored Mental Health Management Support (TaMMS) intervention for Primary Care. As a result, TaMMS patients reported a significant decrease in depression and anxiety as compared to “usual care” patients. Beyond the project end date, each of the four clinics has adopted CoCM as part of their usual care process, continuing to enroll patients and grow their programs.

 

 

Further Collaborative Care Dissemination

The success of the TaMMS project sparked further clinical implementation and studies throughout Michigan. Click on the links below to learn more about each CoCM project.

Study to Promote Innovation in Rural Integrated Telepsychiatry (SPIRIT)

The Michigan Medicine Department of Psychiatry and Michigan Primary Care Association (MPCA) are partnered with the University of Washington in a Patient-Centered Outcomes Research Institute (PCORI)-funded study to compare the effectiveness of traditional telepsychiatry with CoCM for the treatment of patients with PTSD and Bipolar Disorder.

Click here to learn more about SPIRIT.

 

Behavioral Health Collaborative Care (BHCC) at Michigan Medicine

This program encompasses the rollout of CoCM as usual care within Michigan Medicine primary care clinics. The project is funded internally by Michigan Medicine, and will be increasingly financed by revenue from Collaborative Care billing codes. This implementation was initiated by the work of the TaMMS project.

 

Kalamazoo Collaborative Care Project (KCCP)

This project was conceptualized in 2014 in response to the deaths of several Kalamazoo County residents by suicide, and the project was privately funded in early 2016. Due in part to the success of the TaMMS project, the Michigan Medicine team has been hired as consultants to the KCCP team to support implementation of CoCM in primary care clinics throughout Kalamazoo County, Michigan. In addition to its partnership with Michigan Medicine, KCCP is a collaboration between Western Michigan University, Kalamazoo County Mental Health and Substance Abuse Services, Borgess Medical Center, Bronson Healthcare System, and a citizens’ advocacy group.

 

IHA Collaborative Care Program

This program encompasses the rollout of CoCM as usual care throughout IHA. The TaMMS team provided technical assistance to this effort for its first 18 months, helping it get off the ground and become a thriving CoCM program. This team is funded internally by IHA, and will be increasingly financed by revenue from Collaborative Care billing codes.

 

Integrated Behavioral Health Learning Collaborative

This is a cross-system, multi-disciplinary learning collaborative, initially created by the TaMMS team, which has continued and grown beyond the conclusion of the TaMMS project. The group meets monthly to discuss integrated behavioral health topics, CoCM implementation, and other pertinent clinical subjects, as well as to form sub-working groups to further explore topics of interest and complete projects. Speakers and experts are often invited to present and share knowledge.

Click here for more information about the Integrated Behavioral Health Learning Collaborative.