Practice report of collaborative care in depression treatment

DOI
  • Igarashi Yuri
    Department of Psychiatry, Saitama Medical University, Saitama Medical Center
  • Kawata Mari
    Department of Psychiatry, Saitama Medical University, Saitama Medical Center
  • Nagao Ayako
    Department of Psychiatry, Saitama Medical University, Saitama Medical Center Hiroshima Prefectural Mental Health Center
  • Yasuda Takaaki
    Department of Psychiatry, Saitama Medical University, Saitama Medical Center
  • Horikawa Naoshi
    Department of Psychiatry, Saitama Medical University, Saitama Medical Center

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Other Title
  • うつ病診療における協同的ケアの実践報告
  • ─臨床心理士による受療行動への介入─
  • ─ Intervention in patient behavior by clinical psychologists ─

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<p>Previous studies suggest that collaborative care is useful in integrating psychiatric and primary health care. However, no study has investigated collaborative care in Japan. The present study reports on collaborative care practice in Japan using two case studies. In collaborative care, a case manager provides behavioral intervention to the patient and supports the depression medication treatment initiated by primary care physicians. Clinical psychologists supervised the case manager and provided telephonic intervention. The psychiatrist supervised the case managers periodically. We reported the collaborative care practice using two cases of patients who reported anxiety related to medication and its side effects. Finally, we considered the support provided by collaborative care managers.</p>

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