A State-Wide Program of Collaborative Care: Working Towards Geriatric Mental Healthcare Reform

2013 AAGP Annual Meeting

AAGP Annual Meeting 2013 Session Abstracts A STATE-WIDE PROGRAM OF COLLABORATIVE CARE: WORKING TOWARDS GERIATRIC MENTAL HEALTHCARE REFORM Joel E. Streim, MD1,2; David W. Oslin, MD1,2; Donovan T. Maust, MD1,2; Shahrzad Mavandadi, PhD2,1 1 2

University of Pennsylvania, Philadelphia, PA Philadelphia VA Medical Center, Philadelphia, PA

Abstract: Collaborative care models have been shown to enhance the effectiveness and quality of geriatric mental health care delivered within primary care practice settings. These models entail the training and deployment of mental health staff—including psychiatrists, nurses, psychologists, social workers and non-professional staff—in specific roles that are already beginning to reshape the 21st century geriatric mental health workforce. This symposium will address the development, implementation, and operation of a state-wide collaborative care program that delivers telephone-based care management, monitoring, and other support for mental health treatment of older Pennsylvanians who are covered by a state-sponsored prescription drug plan, and whose primary care providers have prescribed a psychotropic medication under that plan. Presentations will emphasize aspects of the program that represent a change in the way clinical care is delivered, progress in workforce training and development, and applications of both clinical care and research to quality improvement. The first presentation will describe the evidence-based structure of the program, and the relative roles of the geriatric psychiatrist, geropsychiatric nurses, social workers, psychologists, and behavioral health technicians, with a discussion of the implications for the practice of geriatric psychiatry and training of a “next-generation” geriatric mental health workforce. The second presentation will describe the creation and funding of this unique partnership between The University of Pennsylvania’s Department of Psychiatry and the Commonwealth of Pennsylvania’s Department of Aging, with an emphasis on the use of this evidence-based clinical care program as a foundation for translating research into practice, generating new hypotheses, conducting health services research, informing health care policy, and promoting improvements in quality of mental health care that is delivered by primary care providers. The third presentation will review the findings from the clinical care experience that have informed new health services research with relevance to statelevel policies. The fourth presentation will describe the addition of a caregiver support program for cases in which the patient is unable to participate directly in telephone-based care management or monitoring. Faculty Disclosures: Donovan T. Maust, MD Nothing to disclose Shahrzad Mavandadi, PhD Nothing to disclose David W. Oslin, MD Research Support: PACE / PACENET - provides grant support for research Joel E. Streim, MD Nothing to disclose

ADVANCES IN LATE LIFE SCHIZOPHRENIA RESEARCH

Carl I. Cohen, MD4; John Kasckow, MD3; Tarek Rajji, MD, PhD1,2; Ipsit Vahia, MD5 1

VA Pittsburgh Health Care System, Pittsburgh, PA University of Pittsburgh Medical Center, Pittsburgh, PA 3 SUNY Downstate Medical Center, New York, NY 4 University of Toronto, Toronto, ON, Canada 5 University of California, San Diego, San Diego, CA 2

Abstract: With the aging of the general population at large, over the next several decades, it is anticipated that the number and proportion of older patients with schizophrenia will increase dramatically. The current research symposium will include Am J Geriatr Psychiatry 21:3, Supplement 1

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