Figure 1Coding system for service delivery models (Collaborative Care Component Score Method)

ItemScore

1. Active and integrated case recognition/identification*

(Systematic identification- from a clinical database or screened positive for depression)

0 1

2. Collaborative assessment and plan included

(Collaborative assessment with the patient)

0 1

3. Case Management

(Case manager present- can include pharmacist for medication management)

0 1

4. Active liaison with primary care and other services

(System set up for structured liaison/ regular meetings)

0 1

5. Case Manager has MH background

(A prior mental health background, not just training in mental health)

0 1
6. Supervision provided for case manager0 1

7. Senior MH professional consultation/involvement

(Broad definition- just need to be available)

0 1
8. Psychoeducation delivered0 1
9. Algorithm(s) used to determine care*0 1
10. Integration with physical health care where necessary0 1
11. Social/psychosocial interventions provided0 1
12. Case manager delivers intervention0 1
13. Medication management provided0 1

14. Routine outcome monitoring

(Scheduled, using a tool)

0 1

15. Psychological interventions provided

 None

 Low intensity

 High intensity

0

1

2

16. Duration of programme contact

 ≤6 mths

 7-12mths

 1year plus

0

1

2

17. Number of sessions (F-t-F and Telephone)

 ≤6 sessions

 6 – 12 sessions

 13 + sessions

0

1

2

Total (maximum 20)
*

Including stepped care

Rating

  • <5 – not collaborative care
  • 6-12 – simple collaborative care
  • 13+ – complex collaborative care

From: Service delivery Models and settings for delivery of services

Cover of Service delivery Models and settings for delivery of services
Service delivery Models and settings for delivery of services: Depression in adults: Evidence review A.
NICE Guideline, No. 222.
Copyright © NICE 2022.

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