Table 3.

Policy categories for the CRANIUM collaborative care model

Intervention function	Policy category	Candidate policies to support the delivery of the intervention functions
Education	Guidelines	Treatment protocols for management of metabolic disorders were distributed (on-line and laminated).
Persuasion	Communication/marketing	Mugs and birthday cards with logo for clinic staff; logo on algorithms
Incentivization	Fiscal measures	Treats (e.g., cookies) were provided to the team with the highest metabolic screening rates.
Coercion	Service provision	Treatment teams knew which teams were the “best” and might be coerced to compete
Training	Guidelines	A primary care physician reviewed guidelines and protocols for management of metabolic disorders.
	Service provision	Established a support service of a primary care consultant for psychiatrists to access on-line
Environmental restructuring	Environmental/social planning	Restructuring the clinic to include in pre-completed lab slips in all interview rooms.
		Stepped care approach where peer navigators could assist patients in going to phlebotomy services.
Modeling	Service provision	Medical Director adopts behavior change and becomes the champion and role model for other staff.
Enablement	Environmental/social planning	Changing roles where psychiatrist can safely initiate treatment of common metabolic abnormalities.