Evidence map›Paper›PMID 31517791›Full record

ArticleMedical care2019

The Collaborative Chronic Care Model for Mental Health Conditions: From Evidence Synthesis to Policy Impact to Scale-up and Spread.

Mark S Bauer, Kendra Weaver, Bo Kim, Christopher Miller, Robert Lew, Kelly Stolzmann, Jennifer L Sullivan, Rachel Riendeau, Samantha Connolly, Jeffery Pitcock and 2 more

Open access · greenAbstract read
In one paragraph

Article in Medical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Collaborative care approaches for people with severe mental illness.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. BDJournal of affective disorders · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Patient experiences with a primary care medical home tailored for people with serious mental illness.Families, systems & health : the journal of collaborative family healthcare · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Mark S BauerCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Jamaica Plain.
Kendra WeaverDepartment of Veterans Affairs Office of Mental Health & Suicide Prevention, Washington, DC.
Bo KimCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Jamaica Plain.
Christopher MillerCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Jamaica Plain.
Robert LewCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Jamaica Plain.
Kelly StolzmannCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Jamaica Plain.
Jennifer L SullivanCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Jamaica Plain.
Rachel RiendeauCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Jamaica Plain.
Samantha ConnollyCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Jamaica Plain.
Jeffery PitcockCentral Arkansas Veterans Healthcare System, Little Rock, AR.
Stig M LudvigsenDepartment of Veterans Affairs, Office of Veterans Access to Care (OVAC), Washington, DC.
Anashua R ElwyCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Jamaica Plain.
VA Boston Healthcare System · USCentral Arkansas Veterans Healthcare System · USUnited States Department of Veterans Affairs · USUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtensive evidence indicates that Collaborative Chronic Care Models (CCMs) improve outcome in chronic medical conditions and depression treated in primary care. Beginning with an evidence synthesis which indicated that CCMs are also effective for multiple mental health conditions, we describe a multistage process that translated this knowledge into evidence-based health system change in the US Department of Veterans Affairs (VA). EVIDENCE SYNTHESIS: In 2010, recognizing that there had been numerous CCM trials for a wide variety of mental health conditions, we conducted an evidence synthesis compiling randomized controlled trials of CCMs for any mental health condition. The systematic review demonstrated CCM effectiveness across mental health conditions and treatment venues. Cumulative meta-analysis and meta-regression further informed our approach to subsequent CCM implementation. POLICY IMPACT: In 2015, based on the evidence synthesis, VA Office of Mental Health and Suicide Prevention (OMHSP) adopted the CCM as the model for their outpatient mental health teams. RANDOMIZED IMPLEMENTATION TRIAL: In 2015-2018 we partnered with OMHSP to conduct a 9-site stepped wedge implementation trial, guided by insights from the evidence synthesis. SCALE-UP AND SPREAD: In 2017 OMHSP launched an effort to scale-up and spread the CCM to additional VA medical centers. Seventeen facilitators were trained and 28 facilities engaged in facilitation. DISCUSSION: Evidence synthesis provided leverage for evidence-based policy change. This formed the foundation for a health care leadership/researcher partnership, which conducted an implementation trial and subsequent scale-up and spread effort to enhance adoption of the CCM, as informed by the evidence synthesis.

Indexed as

Chronic DiseaseCooperative BehaviorOrganizational InnovationHealth Plan ImplementationHumansMental DisordersMental Health ServicesPrimary Health CareQuality ImprovementSystematic Reviews as TopicUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID31517791
PMCPMC6749976
OpenAlexW2972559810

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.