The Collaborative Care Model (CoCM): An Evidence- and Team-Based Care Approach to Integrating Behavioral Health into Primary Care

Collaborative Care, originally developed by the University of Washington, is a cost-effective, evidence-based integrated behavioral health care model. The primary care provider, behavioral health care manager, and psychiatric consultant function as a team, using a shared care plan, to meet the needs of patients with mild to moderate behavioral health concerns.

The Michigan Center for Clinical Systems Improvement (MiCCSI), Michigan Institute for Care Management and Transformation (MICMT), and Michigan Collaborative Care Implementation Support Team (MCCIST) have been contracted by Blue Cross Blue Shield of Michigan for this project.

Continuing Education

This live series activity, Preparing to Implement Collaborative Care, has been reviewed and is acceptable for credit by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved for (1 credit per session ) AAFP (Prescribed) credits.

AMA/AAFP Equivalency: AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

Nurses can use the CME for their state requirements. Information on this can be found on LARA and through the Michigan Nurse Association (MNA) at https://www.minurses.org/education-resources/resources-for-practicingnurses/state-of-michigan-ce-requirements/

Social Worker
This course is approved by the Michigan Social Work Continuing Education Collaborative-Approval # 051420-00 The Collaborative is the approving body for the Michigan Board of Social Work


Presenters

Mark Williams, MD
Laura Saunders, MSSW
Susan Vos, BSN, RN, CCM
Robin Schreur, BS, RN, CCM
Disclosures
The presenters and all planners have indicated that they have no commercial interests related to the content of this educational activity.


Day 1

This session provides an overview of the Collaborative Care model, patient identification strategies, the roles of the care team, billing codes, and implementation strategies.

Intended audience

This training is intended for primary care physician/provider champion, psychiatric consultant, behavioral health care manager, care coordinator, clinical surpervisor, practice manager, and other practice team members who are charged with implementing the collaborative care model.


Objectives

Day 1 Objectives


Agenda

February 2021 Day 1 CoCare Training Agenda


Handouts

Day One Handouts


Presentations

The Why - CoCM Overview

The Why - CoCM Overview

The Process of CoCM

The Process of CoCM

Team Roles & Responsibilities

Team Roles and Responsibilities

Patient Identification & Tracking

Patient Identification and Tracking

Billing & Sustainability

Billing and Sustainability

Preparing for Implementation

CoCM Lessons Learned Collaborative
Preparing for Implementation



Day 2

This session provides an overview of key responsibilities of the behavioral health care maager in the CoCM treatment team; tracking patients, problem solving and behavioral activiation, motivational interviewing, psychotropic medications and diagnoses, maintenance and implementation strategies.

Intended audience

This training is intended for behavioral health care manager, care coordinator, clinical surpervisor, practice manager, and other practice team members who are charged with implementing the collaborative care model.


Objectives

Day 2 Objectives


Agenda

February 2021 Day 2 CoCM Training Agenda


Handouts

Day 2 Handout Packet


Presentations

Day One Reflections

Reflections of Day 1 & Transitioning to Day 2

Motivational Interviewing, Problem Solving & Behavioral Activation

Motivational Interviewing-A Patient-Centered Approach

Behavioral Activation & Problem Solving

Psychotropic Medications and Diagnosis Criteria

Psychotropic Medications & Diagnosis Criteria

The Role of the BHCM and the COCM Process, Maintenance & Tracking

The Role of BHCM and Patient Tracking

Preparing for Implementation

Preparing for Implementation-Getting Started


Patient Tools

Patient brochure MICCSI

Understanding Depression

The Cycle of Depression

Antidepressant Medications

Managing Medication Side Effects

Relapse Prevention Plan

AIMS Relapse Prevention Plan

Self-Management Action Plan Template

Self Management Goals


Specialty Screening Tools

Drug/Alcohol SBIRT Short-Screenings

AUDIT

AUDIT-C

PC-PTSD-5