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Implementing Collaborative Care Management of Behavioral Health for Patients with Inflammatory Bowel Disease.
Flicek, Christine B; Sowa, Nathaniel A; Long, Millie D; Herfarth, Hans H; Dorn, Spencer D.
  • Flicek CB; Department of Psychiatry, University of North Carolina, Chapel Hill, North Carolina, USA.
  • Sowa NA; Department of Psychiatry, University of North Carolina, Chapel Hill, North Carolina, USA.
  • Long MD; Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
  • Herfarth HH; Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
  • Dorn SD; Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Inflamm Intest Dis ; 7(2): 97-103, 2022 Jul.
Article in English | MEDLINE | ID: covidwho-1666515
ABSTRACT

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 evidence-based approach to treating behavioral health disorders that have 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 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.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Language: English Journal: Inflamm Intest Dis Year: 2022 Document Type: Article Affiliation country: 000521285

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Language: English Journal: Inflamm Intest Dis Year: 2022 Document Type: Article Affiliation country: 000521285