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. 2022 Jul 7;17:1037–1056. doi: 10.2147/CIA.S336301

Table 3.

Five Core Elements of Collaborative Care Model, Definitions, and Benefits

Element Definition Benefits
Patient-centered team care Effective collaboration between a multi-professional health team using shared care plans that incorporate the patient’s specific health needs and desired health outcomes ● Address both physical and mental health concurrently
● Coordinated care that reduces duplicate assessments and prescription of medications
● Increased patient engagement, improved care experience and health outcomes
Population-based care Care team uses a registry to actively identify and track patients in need of care ● Care team can reach out to patients who are not improving or responding well to treatment and provide individualized consultation
Measurement-based treatment Treatment decisions are guided by clinical outcomes routinely assessed by validated measurement tools ● Ongoing monitoring of treatment effectiveness and adherence
● Alter treatment approach when health outcomes do not improve as expected
Evidence-based care Applying findings from well-designed research studies to patient care and clinical decision-making ● Provide accessible and effective treatment for the patient’s specific clinical context
Accountable care Providers are incentivized to provide high-quality care and improved clinical outcomes instead of the volume of care ● Ensure high quality care
● Reduce downstream healthcare costs (eg, hospitalization, emergency room)

Note: Adapted from American Psychiatric Association: Learn about the Collaborative Care Model.131