domains of collaborative care

EACH DOMAIN CONTAINS UNIQUE DIMENSIONS WITHIN IT.

click the "+" SYMBOL TO LEARN ABOUT THE SPECIFIC DIMENSIONS AND SOME OF THE UNIQUE INDICATORS THAT MAY BE USED IN MEASURING. 

+ CLIENT OUTCOME

Care achieves good results for clients (e.g. improves symptoms of mental illness, improves quality of life).

+ POPULATION-BASED CARE

Appropriate care is delivered to the whole population of clients who are, or who should be, served by the primary care team (e.g. services are allocated equitably to those in need).

+ EVIDENCE-BASED PRACTICES

Programs and treatments are designed and implemented with consideration of the best available research and the local context.

+ CLIENT INCLUSION AND PARTICIPATION

Care is geared toward providing the best possible experience for clients, and achieving outcomes that are important to clients (e.g. promotes self-efficacy and recovery).

+ ACCESS AND TIMELINESS OF CARE

Clients can easily receive care within a reasonable timeframe considering their illness severity, level of risk, and level of function (e.g. timely identification of mental illness, wait time for psychotherapy after recommendation is made).

+ INFRASTRUCTURE, LEADERSHIP, AND MANAGEMENT

Care is provided under appropriate conditions (e.g. appropriate physical space, having skilled health care providers from different disciplines).

+ LEVEL OF INTEGRATION BETWEEN MENTAL HEALTH AND PRIMARY CARE SERVICES

Services are well coordinated within the collaborative mental health program in primary care, and also between the primary care team and outside mental health specialists (e.g. hospital-based psychiatric care).

+ TEAM FUNCTIONING

The clinical team of primary care and mental health providers work well together.

+ COLLABORATION FOR PATIENT SAFETY

Collaborative Care program is organized to provide the safest possible care (e.g. promotes safe medication prescribing practices, engages all team members in improving patient safety).

  • Organization has a strong “safety culture”
  • Team conducts population level safety interventions
  • Medication prescribing is safe
  • The organization and team manage near misses, errors, and negative outcomes effectively

+ QUALITY IMPROVEMENT

Collaborative Care team and program are continuously working to improve quality (e.g. program is routinely evaluated from multiple perspectives and the results inform program development and provider training).

+ VALUE AND EFFICIENCY

From a system perspective care delivers good value considering the costs. Multiple perspectives and systems are considered when measuring cost effectiveness (e.g. health care, social support, justice, child protection, client incurred costs).