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Integrated Care
Published Online: 30 January 2020

Longitudinal Remote Coaching for Implementation of Perinatal Collaborative Care: A Mixed-Methods Analysis

Amritha Bhat, M.D., M.P.H. [email protected], Ian M. Bennett, M.D., Ph.D., Amy M. Bauer, M.D., M.S., Rinad S. Beidas, Ph.D., Whitney Eriksen, Ph.D., R.N., Frances K. Barg, Ph.D., Rachel Gold, Ph.D., M.P.H., and Jürgen Unützer, M.D., M.P.H.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 71, Number 5
https://doi.org/10.1176/appi.ps.201900341
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Abstract

The collaborative care model (CoCM) is a multicomponent, team-based integrated behavioral health framework. Its effectiveness in the treatment of perinatal depression is established, but implementation has been limited. The authors used longitudinal remote coaching (LRC) as a novel implementation strategy to support systematic case review in a multistate cluster-randomized trial of CoCM for perinatal depression. They describe LRC for perinatal CoCM in three clinics and use of a mixed-methods analysis of data from LRC feedback forms and interviews with participants. LRC is a scalable implementation strategy with potential to support complex models of integrated behavioral health, such as perinatal CoCM.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Volume 71 • Number 5 • May 01, 2020
Pages: 518 - 521
PubMed: 31996114

History

Received: 10 July 2019
Revision received: 10 October 2019
Accepted: 15 November 2019
Published online: 30 January 2020
Published in print: May 01, 2020

Keywords

  1. perinatal collaborative care
  2. perinatal depression
  3. implementation

Authors

Details

Amritha Bhat, M.D., M.P.H. [email protected]
Department of Psychiatry and Behavioral Sciences (Bhat, Bennett, Bauer, Unützer) and Department of Family Medicine (Bennett), University of Washington, Seattle; Department of Psychiatry (Beidas), Department of Medical Ethics and Health Policy (Beidas), and Department of Family Medicine and Community Health (Eriksen, Barg), Perelman School of Medicine, University of Pennsylvania, Philadelphia; Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Beidas); Kaiser Permanente Northwest Center for Health Research, Portland, Oregon (Gold). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
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Ian M. Bennett, M.D., Ph.D.
Department of Psychiatry and Behavioral Sciences (Bhat, Bennett, Bauer, Unützer) and Department of Family Medicine (Bennett), University of Washington, Seattle; Department of Psychiatry (Beidas), Department of Medical Ethics and Health Policy (Beidas), and Department of Family Medicine and Community Health (Eriksen, Barg), Perelman School of Medicine, University of Pennsylvania, Philadelphia; Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Beidas); Kaiser Permanente Northwest Center for Health Research, Portland, Oregon (Gold). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
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Amy M. Bauer, M.D., M.S.
Department of Psychiatry and Behavioral Sciences (Bhat, Bennett, Bauer, Unützer) and Department of Family Medicine (Bennett), University of Washington, Seattle; Department of Psychiatry (Beidas), Department of Medical Ethics and Health Policy (Beidas), and Department of Family Medicine and Community Health (Eriksen, Barg), Perelman School of Medicine, University of Pennsylvania, Philadelphia; Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Beidas); Kaiser Permanente Northwest Center for Health Research, Portland, Oregon (Gold). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
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Rinad S. Beidas, Ph.D.
Department of Psychiatry and Behavioral Sciences (Bhat, Bennett, Bauer, Unützer) and Department of Family Medicine (Bennett), University of Washington, Seattle; Department of Psychiatry (Beidas), Department of Medical Ethics and Health Policy (Beidas), and Department of Family Medicine and Community Health (Eriksen, Barg), Perelman School of Medicine, University of Pennsylvania, Philadelphia; Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Beidas); Kaiser Permanente Northwest Center for Health Research, Portland, Oregon (Gold). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
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Whitney Eriksen, Ph.D., R.N.
Department of Psychiatry and Behavioral Sciences (Bhat, Bennett, Bauer, Unützer) and Department of Family Medicine (Bennett), University of Washington, Seattle; Department of Psychiatry (Beidas), Department of Medical Ethics and Health Policy (Beidas), and Department of Family Medicine and Community Health (Eriksen, Barg), Perelman School of Medicine, University of Pennsylvania, Philadelphia; Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Beidas); Kaiser Permanente Northwest Center for Health Research, Portland, Oregon (Gold). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
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Frances K. Barg, Ph.D.
Department of Psychiatry and Behavioral Sciences (Bhat, Bennett, Bauer, Unützer) and Department of Family Medicine (Bennett), University of Washington, Seattle; Department of Psychiatry (Beidas), Department of Medical Ethics and Health Policy (Beidas), and Department of Family Medicine and Community Health (Eriksen, Barg), Perelman School of Medicine, University of Pennsylvania, Philadelphia; Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Beidas); Kaiser Permanente Northwest Center for Health Research, Portland, Oregon (Gold). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
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Rachel Gold, Ph.D., M.P.H.
Department of Psychiatry and Behavioral Sciences (Bhat, Bennett, Bauer, Unützer) and Department of Family Medicine (Bennett), University of Washington, Seattle; Department of Psychiatry (Beidas), Department of Medical Ethics and Health Policy (Beidas), and Department of Family Medicine and Community Health (Eriksen, Barg), Perelman School of Medicine, University of Pennsylvania, Philadelphia; Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Beidas); Kaiser Permanente Northwest Center for Health Research, Portland, Oregon (Gold). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
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Jürgen Unützer, M.D., M.P.H.
Department of Psychiatry and Behavioral Sciences (Bhat, Bennett, Bauer, Unützer) and Department of Family Medicine (Bennett), University of Washington, Seattle; Department of Psychiatry (Beidas), Department of Medical Ethics and Health Policy (Beidas), and Department of Family Medicine and Community Health (Eriksen, Barg), Perelman School of Medicine, University of Pennsylvania, Philadelphia; Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Beidas); Kaiser Permanente Northwest Center for Health Research, Portland, Oregon (Gold). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
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Notes

Send correspondence to Dr. Bhat ([email protected]).

Funding Information

National Institute of Mental Healthhttp://dx.doi.org/10.13039/100000025: 108548
Dr. Beidas receives royalties from Oxford University Press and has consulted for Merck Sharpe & Dohme and the Camden Coalition of Healthcare Providers. The other authors report no financial relationships with commercial interests.

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