UCSF-Fresno Collaborative Care Pilot

PI: Shawn Hersevoort
Health Delivery System Partner: UCSF Fresno

Between May 2013 and November 2014 the UCSF-Fresno department of psychiatry developed and implemented an integrated mental health service based on the highly successful University of Washington I.M.P.A.C.T. model of collaborative care. This developing interface between specialties is becoming increasingly important in the era of affordable and accountable care. Our application is unique in that we are working in four separate resident run clinics, internal medicine, family practice, OBGYN, and pediatrics, as well as with a severely socioeconomically disadvantaged patient population. The teaching program includes a didactic series geared to primary care residents, weekly supervision, and ongoing as needed on-call consultation. Our initial goals were to demonstrate participation from primary care by showing increased screening frequency, as well as program effectiveness by a positive trend in population-based improvement in depression scores.