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Table 2 The core components of effective shared care models for depression and anxiety

From: Shared care in mental illness: A rapid review to inform implementation

 

PRISM-E

MPACT I

PROSPECT

RESPECT-D

CALM

Process of care

Integrated mental health service

Care manager (nurses or psychologists trained for the study

Care manager (depression care manager)

Care manager (background in PC or MH nursing)

Flexible treatment delivery model (preferred treatment) Anxiety Care Specialist (ACS) to deliver web based CBT program

Screening

yes

yes

yes

no

yes

Treatment algorithm

no

yes

yes

no

yes

Formal stepped care

no

yes

yes

no

yes

Care management location

na

on-site

on-site

off-site (centrally located)

on-site

Patient education/self management

variable

yes

yes

yes

yes

Case management

yes

yes

yes

yes

yes

Care management to patient contact

na

face-to-face; telephone

face-to-face

telephone

face-to-face

Psychiatric supervision

na

face-to-face; telephone

face-to-face

telephone

telephone/email

Care management counselling

na

PST-PC

IPT

supportive

supportive

Psychological supervision

na

telephone

face-to-face

na

unclear

MH specialty treatment location

on-site

on-site

on-site

off-site

on-site

Geriatrician supervision

no

Liaison/PC provider

no

no

no

Standardised follow up

yes

yes

yes

yes

yes

Standardised outcome measure

yes

yes

yes

yes

yes

  1. Source: Oxman -The American Journal of Geriatric Psychiatry 2003; 11, 5- (Table 2, Page 509)
  2. Butler - AHRQ Publication No. 09-E003. Rockville, MD. Agency for Healthcare Research and Quality. 2008 (Table 4, Page 46)
  3. Roy-Byrne - Delivery of Evidence-Based Treatment for Multiple Anxiety Disorders in Primary Care. A Randomized Controlled Trial JAMA 2010;303,19.