Implementing Collaborative Care Management of Behavioral Health for Patients with Inflammatory Bowel Disease

Background Individuals with inflammatory bowel disease (IBD) are up to twice as likely to suffer from anxiety and/or depression. Collaborative care management (CoCM) is an evidenced-based approach to treating behavioral health disorders that has proven effective for a range of conditions in primary...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Christine Beran, Nathaniel A. Sowa, Millie D. Long, Hans H. Herfarth, Spencer D. Dorn
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/6c489ec5aa6d4bc69febc1355949fcd6
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:6c489ec5aa6d4bc69febc1355949fcd6
record_format	dspace
spelling	oai:doaj.org-article:6c489ec5aa6d4bc69febc1355949fcd62021-12-02T12:40:23ZImplementing Collaborative Care Management of Behavioral Health for Patients with Inflammatory Bowel Disease2296-94032296-936510.1159/000521285https://doaj.org/article/6c489ec5aa6d4bc69febc1355949fcd62021-12-01T00:00:00Zhttps://www.karger.com/Article/FullText/521285https://doaj.org/toc/2296-9403https://doaj.org/toc/2296-9365Background Individuals with inflammatory bowel disease (IBD) are up to twice as likely to suffer from anxiety and/or depression. Collaborative care management (CoCM) is an evidenced-based approach to treating behavioral health disorders that has proven effective for a range of conditions in primary care and some specialty settings. This model involves a team-based approach, with care delivered by a care manager (case reviews and behavioral therapy), psychiatrist (case reviews and psychopharmacological recommendations), and medical provider (ongoing care including psychopharmacological prescriptions). We assessed the feasibility and effectiveness of CoCM in reducing anxiety and depressive symptoms in patients with IBD. Methods Patients with psychological distress identified by clinical impression and/or the results of the Patient Health Questionaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) were referred to the CoCM program. Data from our 9-month CoCM pilot were collected to assess depression and anxiety response and remission rates. We obtained provider surveys to assess provider acceptability with delivering care in this model. Results Though the coronavirus SARS-CoV2 (COVID-19) pandemic interrupted screening, 39 patients enrolled and 19 active participants completed the program. Overall, 47.4% had either a response or remission in depression, while 36.8% had response or remission in anxiety. The gastroenterologists highly agreed that the program was a beneficial resource for their patients and felt comfortable implementing the recommendations. Discussion CoCM is a potentially feasible and well accepted care delivery model for treatment of depression and anxiety in patients with IBD in a specialty gastroenterology clinic settingChristine BeranNathaniel A. SowaMillie D. LongHans H. HerfarthSpencer D. DornKarger PublishersarticleDiseases of the digestive system. GastroenterologyRC799-869ENInflammatory Intestinal Diseases (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	Diseases of the digestive system. Gastroenterology RC799-869 Christine Beran Nathaniel A. Sowa Millie D. Long Hans H. Herfarth Spencer D. Dorn Implementing Collaborative Care Management of Behavioral Health for Patients with Inflammatory Bowel Disease
description	Background Individuals with inflammatory bowel disease (IBD) are up to twice as likely to suffer from anxiety and/or depression. Collaborative care management (CoCM) is an evidenced-based approach to treating behavioral health disorders that has proven effective for a range of conditions in primary care and some specialty settings. This model involves a team-based approach, with care delivered by a care manager (case reviews and behavioral therapy), psychiatrist (case reviews and psychopharmacological recommendations), and medical provider (ongoing care including psychopharmacological prescriptions). We assessed the feasibility and effectiveness of CoCM in reducing anxiety and depressive symptoms in patients with IBD. Methods Patients with psychological distress identified by clinical impression and/or the results of the Patient Health Questionaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) were referred to the CoCM program. Data from our 9-month CoCM pilot were collected to assess depression and anxiety response and remission rates. We obtained provider surveys to assess provider acceptability with delivering care in this model. Results Though the coronavirus SARS-CoV2 (COVID-19) pandemic interrupted screening, 39 patients enrolled and 19 active participants completed the program. Overall, 47.4% had either a response or remission in depression, while 36.8% had response or remission in anxiety. The gastroenterologists highly agreed that the program was a beneficial resource for their patients and felt comfortable implementing the recommendations. Discussion CoCM is a potentially feasible and well accepted care delivery model for treatment of depression and anxiety in patients with IBD in a specialty gastroenterology clinic setting
format	article
author	Christine Beran Nathaniel A. Sowa Millie D. Long Hans H. Herfarth Spencer D. Dorn
author_facet	Christine Beran Nathaniel A. Sowa Millie D. Long Hans H. Herfarth Spencer D. Dorn
author_sort	Christine Beran
title	Implementing Collaborative Care Management of Behavioral Health for Patients with Inflammatory Bowel Disease
title_short	Implementing Collaborative Care Management of Behavioral Health for Patients with Inflammatory Bowel Disease
title_full	Implementing Collaborative Care Management of Behavioral Health for Patients with Inflammatory Bowel Disease
title_fullStr	Implementing Collaborative Care Management of Behavioral Health for Patients with Inflammatory Bowel Disease
title_full_unstemmed	Implementing Collaborative Care Management of Behavioral Health for Patients with Inflammatory Bowel Disease
title_sort	implementing collaborative care management of behavioral health for patients with inflammatory bowel disease
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/6c489ec5aa6d4bc69febc1355949fcd6
work_keys_str_mv	AT christineberan implementingcollaborativecaremanagementofbehavioralhealthforpatientswithinflammatoryboweldisease AT nathanielasowa implementingcollaborativecaremanagementofbehavioralhealthforpatientswithinflammatoryboweldisease AT milliedlong implementingcollaborativecaremanagementofbehavioralhealthforpatientswithinflammatoryboweldisease AT hanshherfarth implementingcollaborativecaremanagementofbehavioralhealthforpatientswithinflammatoryboweldisease AT spencerddorn implementingcollaborativecaremanagementofbehavioralhealthforpatientswithinflammatoryboweldisease
_version_	1718393742953545728

Implementing Collaborative Care Management of Behavioral Health for Patients with Inflammatory Bowel Disease

Ejemplares similares