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

2013 AAGP Annual Meeting

AAGP Annual Meeting 2013Session Abstracts

A STATE-WIDE PROGRAM OF COLLABORATIVE CARE: WORKING TOWARDS GERIATRICMENTAL HEALTHCARE REFORMJoel E. Streim, MD1,2; David W. Oslin, MD1,2; Donovan T. Maust, MD1,2; Shahrzad Mavandadi, PhD2,1

1University of Pennsylvania, Philadelphia, PA2Philadelphia VA Medical Center, Philadelphia, PA

Abstract: Collaborative care models have been shown to enhance the effectiveness and quality of geriatric mental health caredelivered within primary care practice settings. These models entail the training and deployment of mental health staff—includingpsychiatrists, nurses, psychologists, social workers and non-professional staff—in specific roles that are already beginning toreshape the 21st century geriatric mental health workforce. This symposium will address the development, implementation, andoperation of a state-wide collaborative care program that delivers telephone-based care management, monitoring, and othersupport for mental health treatment of older Pennsylvanians who are covered by a state-sponsored prescription drug plan, andwhose primary care providers have prescribed a psychotropic medication under that plan. Presentations will emphasize aspects ofthe program that represent a change in the way clinical care is delivered, progress in workforce training and development, andapplications of both clinical care and research to quality improvement. The first presentation will describe the evidence-basedstructure 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 ofa “next-generation” geriatric mental health workforce. The second presentation will describe the creation and funding of thisunique partnership between The University of Pennsylvania’s Department of Psychiatry and the Commonwealth of Pennsyl-vania’s Department of Aging, with an emphasis on the use of this evidence-based clinical care program as a foundation fortranslating 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 presentationwill review the findings from the clinical care experience that have informed new health services research with relevance to state-level policies. The fourth presentation will describe the addition of a caregiver support program for cases in which the patient isunable to participate directly in telephone-based care management or monitoring.

Faculty Disclosures:Donovan T. Maust, MDNothing to disclose

Shahrzad Mavandadi, PhDNothing to disclose

David W. Oslin, MDResearch Support: PACE / PACENET - provides grant support for research

Joel E. Streim, MDNothing to disclose

ADVANCES IN LATE LIFE SCHIZOPHRENIA RESEARCHCarl I. Cohen, MD4; John Kasckow, MD3; Tarek Rajji, MD, PhD1,2; Ipsit Vahia, MD5

1VA Pittsburgh Health Care System, Pittsburgh, PA2University of Pittsburgh Medical Center, Pittsburgh, PA3SUNY Downstate Medical Center, New York, NY4University of Toronto, Toronto, ON, Canada5University of California, San Diego, San Diego, CA

Abstract: With the aging of the general population at large, over the next several decades, it is anticipated that the number andproportion of older patients with schizophrenia will increase dramatically. The current research symposium will include

Am J Geriatr Psychiatry 21:3, Supplement 1 S5