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Page 2

Key Processes and Roles for Collaborative Care Team Members

PROCESSROLE
Depression Care ManagerPsychiatric Consultant
1. Systematic diagnosis and tracking of patient outcomesPatient engagement, education / self management support
Close follow-up to make sure patients don't “fall through the cracks”
Systematic caseload review.
Diagnostic consultation on difficult cases
2. Stepped Carea)Change treatment according to evidence-based algorithm if patient is not improving

b)Relapse prevention once patient is improved

Support medication management by primary care provider (PCP)Brief counseling (e.g., behavioral activation or problem-solving treatment in primary care)Facilitate treatment change / referral to mental health as needed

Relapse prevention planning

Consultation focused on patients not improving as expected
Recommendations to PCP for additional treatment or referral to specialty care