What are Collaborative Chronic Care Models (CCMs) for the treatment of bipolar affective disorder (manic-depressive illness)?

Updated: May 30, 2019
  • Author: Stephen Soreff, MD; Chief Editor: Glen L Xiong, MD  more...
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Patients with chronic medical illnesses and depression should be treated with a comprehensive approach involving the patient, the family, the support team, the physician, other professionals, and community resources. Such models, called Collaborative Chronic Care Models (CCMs), have been developed to improve outcomes in chronically ill patients treated in the primary care setting who also suffer from depression. CCMs were defined a priori as interventions with at least 3 of the 6 components of the Improving Chronic Illness Care initiative, as follows:

  • Patient self-management support

  • Clinical information systems

  • Delivery system redesign

  • Decision support

  • Organizational support

  • Community resource linkages

When Woltmann et al examined this approach in patients with bipolar disorder, they concluded that CCMs can improve both mental and physical outcomes for patients with mental disorders across a wide range of care settings. [80] CCMs also provide a robust clinical and policy framework for the integration of care. The review included 78 articles, yielding 161 analyses from 57 trials. [80]

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