Psychiatrists are uniquely positioned to improve access to effective mental health care in the context of rapidly evolving health care reform. Integrated care programs, in which mental health care is delivered in primary care settings, exist as a promising solution to common, disabling and costly behavioral health problems, such as depression, anxiety and substance use disorders. Collaborative Care, a type of integrated care, has emerged as the strongest evidence-based approach. Psychiatrists play a vital role as part of Collaborative Care teams, providing systematic consultation for a panel of patients cared for in primary care; however, few psychiatrists have been trained in Collaborative Care.

This course is supported by the Transforming Clinical Practice Initiative (TCPI). It provides training in Collaborative Care Consultation Psychiatry, focusing on the knowledge, skills and attitudes necessary to help psychiatrists provide high quality care for larger populations.

Supported by Funding Opportunity Number CMS-1L1-15-002 from the U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

Course Agenda

The course agenda includes:

• Module 1: Introduction to Collaborative Care
• Module 2: Collaborative Care 101
• Module 3: Assessment as Part of a Collaborative Care Team
• Module 4: Treatment as Part of a Collaborative Care Team

To continue learning about this topic consider taking the "Applying the Integrated Care Approach: Advanced" course. More Information

The course is part of APA’s OnDemand Plus format, which offers a deeper exploration of topics through rich content and enhanced features. OnDemand Plus courses are multi-modular and are typically completed over a longer time period.

Educational Objectives

By the end of this training, participants will know:

• A general history of integrated care models, including co-located care, BH, consultant, and Collaborative Care
• The attitude shift associated with the psychiatric consultant role in Collaborative Care versus traditional psychiatry
• The application of Collaborative Care guiding principles to own work in psychiatry
• The workflow differences between traditional psychiatry and psychiatric consultation in Collaborative Care
• Differences between common presentations in primary care and in a typical psychiatry practice
• How initiating treatment as part of a team is different than doing it alone
• What a registry is and how it is used to facilitate treating-to-target and setting personal targets
• How the use of a registry differs from current practice

Estimated Time to Complete

Estimated Duration: 4 Hours
Program Start Date: February 15, 2015
Program Review Date: September 2022
Program End Date: October 4, 2025

Target Audience

Psychiatrists who plan to participate on a Collaborative Care team or who want to incorporate Collaborative Care principles into their current practice.

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 70% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the date of completion and hours earned. 

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The APA designates this enduring material for a maximum of 4.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Planning Committee:

• Joseph Cerimele, MD, MPH, Assistant Professor, Department of Psychiatry and Behavioral Sciences, University of Washington | Reports no financial relationships with commercial interests 
• Alan Gojdics, M.Ed., Assistant, Director for Education, Division of Integrated Care and Public Health, Department of Psychiatry and Behavioral Sciences, University of Washington | Reports no financial relationships with commercial interests 
• Tristan Gorrindo, MD, Director of Education, American Psychiatric Association. | Reports no financial relationships with commercial interests 
• Anna Ratzliff, MD, PhD, Associate Professor, Department of Psychiatry and Behavioral Sciences, University of Washington; Associate Director for Education, The AIMS Center, University of Washington | Reports no financial relationships with commercial interests 
• Rebecca Lynn Sladek, MS, Communications Manager, The AIMS Center, University of Washington | Reports no financial relationships with commercial interests 
• Jürgen Unutzer, MD, MPH, MA, Professor and Department Chair, Department of Psychiatry and Behavioral Sciences, University of Washington; Director, The AIMS Center, University of Washington | Reports no financial relationships with commercial interests

Additional Faculty:

• Lydia Chwastiak, MD, MPH, Associate Professor, Department of Psychiatry and Behavioral Sciences, University of Washington | Reports no financial relationships with commercial interests 
• John S. Kern, MD, Chief Medical Officer, Regional Mental Health Center and Regional Health Center | Disclosure: MTM Services, National Council for Behavioral Health
• Lori Raney, MD, Medical Director, Axis Health System | Disclosure: Collaborative Care Consulting

Supported by Funding Opportunity Number CMS-1L1-15-002 from the U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services.

The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
• Internet Explorer 11+

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
• Internet Connection: 1 Mbps or higher

Minimum Requirements:

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact learningcenter@psych.org for technical assistance