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

During this live, virtual training course, the learner will gain knowledge and skills to implement a collaborative care model that includes a primary care provider, behavioral health care manager, and psychiatric consultant functioning 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) and Michigan Collaborative Care Implementation Support Team (MCCIST) are the joint hosts of this training event.

  • Discuss the process of CoCM from patient identification, screening, assessment and care planning, interventions and monitoring to case closure and including the use of the systematic case review
  • Review and define the roles and responsibilities of the CoCM treatment team including care coordination with other specialties and community agencies
  • Explain the key role and responsibilities of the Behavioral Health Care Manager as part of the CoCM treatment team
  • Discuss the technologies involved in the CoCM process and their application toward population health and treat to target
  • Review how to bill CoCM services using the CoCM codes
  • Review and discuss the skills and principles of motivational interviewing, behavioral activation, and problem solving treatment as it applies to patient engagement and assessing risk and safety
  • Review the common anti-depressant and anti-anxiety medications and their relative place in therapy
  • Review implementation strategies beyond initial training

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 - Mi-CCSI
Robin Schreur, BS, RN, CCM - Mi-CCSI
Courtney Miller, LMSW - MCCIST
Debbra Snyder-Sclater, MS, LLP, CAASC, CCS - MCCIST

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.


Agenda

Day 1 Training CoCare Agenda-July 2021


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

Preparing for Implementation



Day 2

This session provides an overview of key responsibilities of the behavioral health care manager in the CoCM treatment team; problem solving and behavioral activation, motivational interviewing, psychotropic medications and diagnoses.

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.


Agenda

Day 2 Training CoCare Agenda-July 2021


Handouts

Day 2 Handout Packet


Presentations

Day One Reflections

Reflections of Day 1 & Transitioning to Day 2

Motivational Interviewing

Motivational Interviewing-A Patient-Centered Approach

Problem Solving

Problem Solving Therapy
Problem Solving Skills Worksheet

Behavioral Activation

Behavioral Activation

Psychotropic Medications and Diagnosis Criteria

Psychotropic Medications & Diagnosis Criteria



Day 3

This session provides an overview of key responsibilities of the behavioral health care manager in the CoCM treatment team; tracking patients, 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.

Agenda

Day 3 Training CoCare Agenda-July 2021


Handouts

Systematic Case Review Activity Handouts

SCR SBAR-Initial

SCR SBAR-Followup

SCR Demo Competency Assessment


Presentations

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 Education Toolkit

(The toolkit includes all the below 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