Implementing Collaborative Care in Low-Resource Government, Research, and Academic Settings in Rural Nepal

James P Jackson, Lianna Johnson, Zuzana Jasencakova, Xing Zhang, Laura PerezBurgos, Prim B Singh, Xiaodong Cheng, Ingo Schubert, Thomas Jenuwein, Steven E Jacobsen

Research output: Contribution to journalArticlepeer-review

25 Citations (Scopus)

Abstract

The collaborative care model (CoCM) is a strategy of integrating behavioral health into primary care to expand access to high-quality mental health services in areas with few psychiatrists. CoCM is multifaceted, and its implementation is accelerating in high-resource settings. However, in low-resource settings, it may not be feasible to implement all CoCM components. Guidance is lacking on CoCM implementation when only some of its components are feasible. In this column, the authors used a cost-benefit approach to refine strategies for addressing common implementation challenges, incorporating the authors’ experiences in what was gained and what was lost at each implementation step in three CoCM programs in diverse clinical settings in rural Nepal.
Original languageEnglish
JournalPsychiatric Services
DOIs
Publication statusPublished - Feb 17 2022

Keywords

  • Arabidopsis
  • Cell Nucleus
  • Chromatin
  • DNA Methylation
  • Gene Silencing
  • Histone-Lysine N-Methyltransferase
  • Histones
  • Lysine
  • Precipitin Tests
  • Journal Article
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

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