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National Research Network. New Subnetwork Seeks Evidence to Support Collaborative Care
American Family Physician, 08/12/09
Mitchell D – The AAFP's National Research Network, or NRN, is recruiting practices for its new subnetwork, the Collaborative Care Research Network, or CCRN. The new network is designed to investigate and evaluate the integration of mental health services in primary care settings. Two–thirds of primary care physicians don't have access to mental health specialists because of numerous barriers, including lack of mental health professionals and insurance restrictions. When a physician refers a patient out to mental health providers, only 20 percent to 40 percent (of those visits) result in care being initiated. The new model would involve in–house medical teams who would work together to plan treatments and execute a patient's care. The expectation is that combining mental health, substance abuse and physical health services in this kind of team structure will produce better outcomes than the old referral system. In addition, a number of other common medical issues dealt with by primary care physicians, including chronic pain, insomnia and gastrointestinal disorders, would benefit from a collaborative care approach. The CCRN has recruited about 30 practices to date and hopes to add 50 practices a year during the next two years. The eventual goal is to have 150 to 200 practices nationwide working together to make collaborative care more effective. In addition to having a mental health professional on staff, primary care practices participating in the CCRN need to have an interest in practice–based research, a willingness to share data and an interest in addressing important research questions. The CCRN has received funding from the Agency for Healthcare Research and Quality to convene an invitation–only meeting Oct. 8–9 in Denver to create a research agenda for behavioral health in primary care. Practices interested in obtaining an enrollment packet should contact Mindy Spano with the AAFP's National Research Network at (800) 267–2237, Ext. 3178.
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