ORIGINAL PAPER
The New York State Collaborative Care Initiative:
2012–2014
Lloyd I. Sederer
1
•
Marisa Derman
1
•
Jay Carruthers
1
•
Melanie Wall
1
Published online: 4 June 2015
Ó Springer Science+Business Media New York 2015
Abstract We report on a partnership between the NYS Department of Health and Office
of Mental Health that delivered the full integration of depression care into primary medical
care. Called the NYS Collaborative Care Initiative (NYS-CCI), nineteen NYS academic
medical centers participated. Based on principles of chronic illness care, Collaborative
Care detects and manages depression in primary care using a highly prescriptive protocol
(University of Washington AIMS Center website: http://uwaims.org/). Fidelity was
ensured by measuring screening rates, diagnosis, enrollment, and improvement among
those in treatment for 16 weeks. There was significant, progressive performance
improvement in sites that served over 1 million patients over the course of the two and a
half year grant. Clinics also reported satisfaction with the CC model. Based on the
experience gained, we recommend a number of critical actions necessary for the successful
implementation and scaling-up of CC throughout any state undertaking this endeavor.
Keywords Mental health Á Primary care Á Integration of services Á Collaborative Care Á
Depression Á Measurement based care Á Graduate medical education
Introduction
Behavioral health disorders, such as depression, are among the most prevalent health
conditions in New York State and throughout the country, disabling many and impairing
successful control of or recovery from co-existing medical disorders, including diabetes,
asthma, cardiovascular and lung diseases, cancer, and neurological illnesses. Although safe
and effective treatments for depression exist, the great majority of people in need are not
& Lloyd I. Sederer
lloyd.sederer@omh.ny.gov
1
The New York State Office of Mental Health, NYS Psychiatric Institute and Columbia Physicians
and Surgeons, 330 Fifth Ave, New York, NY 10001, USA
123
Psychiatr Q (2016) 87:1–23
DOI 10.1007/s11126-015-9375-1
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