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      Collaborative Care for Depression in Primary Care: How Psychiatry Could “Troubleshoot” Current Treatments and Practices

      review-article
      , MD, MSc
      The Yale Journal of Biology and Medicine
      YJBM
      antidepressants, primary care, collaborative care

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          Abstract

          The bulk of mental health services for people with depression are provided in primary care settings. Primary care providers prescribe 79 percent of antidepressant medications and see 60 percent of people being treated for depression in the United States, and they do that with little support from specialist services. Depression is not effectively managed in the primary care setting. Collaborative care based on a team approach, a population health perspective, and measurement-based care has been proven to treat depression more effectively than care as usual in a variety of settings and for different populations, and it increases people’s access to medications and behavioral therapies. Psychiatry has the responsibility of supporting the primary care sector in delivering mental health services by disseminating collaborative care approaches under recent initiatives and opportunities made possible by the Affordable Care Act (ACA).

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          Author and article information

          Journal
          Yale J Biol Med
          Yale J Biol Med
          yjbm
          YJBM
          The Yale Journal of Biology and Medicine
          YJBM
          0044-0086
          1551-4056
          13 June 2013
          June 2013
          : 86
          : 2
          : 139-146
          Affiliations
          Assistant Professor of Psychiatry, Yale School of Medicine, New Haven, Connecticut
          Author notes
          To whom all correspondence should be addressed: Andres Barkil-Oteo, MD, MSc, Assistant Professor of Psychiatry, Yale School of Medicine, 34 Park St., New Haven CT, 06511; Tele: 203-974-5814; Fax: 203-974-5850; Email: andres.barkil@ 123456yale.edu .
          Article
          yjbm862139
          3670434
          23766735
          50459c35-0a43-468f-8046-6443b6c1c43b
          Copyright ©2013, Yale Journal of Biology and Medicine

          This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License, which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way.

          History
          Categories
          Focus: Psychiatry and Psychology
          Focus: Psychiatry and Psychology

          Medicine
          antidepressants,primary care,collaborative care
          Medicine
          antidepressants, primary care, collaborative care

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