07.01.2025

NEW Collaborative Care Model (CoCM)

The collaborative care model (CoCM) provides services to patients using a combined treatment team of primary care physicians, care manager and psychiatrist.

The benefit of the COCM model is to help maintain stability for those who are ready to step down from more intensive and regular services. It is also a model that provides opportunity to intervene early with individuals who experience an increase in stress (for example, a distressing event) and are interested in supplemental brief support.

The role of the Care Manager is to provide additional therapeutic support to patients who are currently seeking medical services with primary care providers. The care manager works with the providers and psychiatrist to monitor, assess and address medical and mental health needs simultaneously.

What does CoCM look like?

When a patient visits the clinic to see their primary care provider and scores higher than a 10 on their PHQ9 and/or GAD7 screener upon admission, they would then be referred to a care manager (with some exceptions). For patients to fit criteria they must have or will be diagnosed with depression (multiple types) and/or anxiety (multiple types).

*Patients that do not fit the criteria are patients with a diagnosis of schizophrenia or are higher acuity.

What is included in Care Management:

  • Focus on current behavioral and challenges

  • Psychoeducation

  • Brief counseling focused on skill building and symptom management

  • Introducing coping skills – using behavioral activation and problem-solving treatment

  • Specific home assignments for patient practice with the goal of decreasing their depressive/anxious symptoms

  • Input and track this progress and monitor the patient with incremental follow ups

  • 30-minute sessions

  • Estimated treatment timeline of 3-6 months. If additional support is needed then patients are referred to the appropriate clinical specialty team.

Please note: Care Managers can assist connecting patients to internal and/or community resources however they DO NOT provide typical hands on case management/social work services for patients.
If you’d like to learn more about this model or explore how to collaborate or refer, to call us today!