Implementing the COINCIDE collaborative care model in English low-intensity psychological services
Please note that this project finished in March 2015 and is no longer active.
What did we do?
We built on the success of the original COllaborative INterventions for CIrculation and DEpression (COINCIDE) study by deploying the COINCIDE treatment model within Increasing Access to Psychological Therapy (IAPT) services.
Why was it important?
When combined with a long-term condition, depression leads to the greatest reductions in quality of life. Depression and anxiety are known to drive unscheduled care in the health service, and the health economic impact of mental and physical multimorbidity is significant. Work by the King’s Fund has shown that depression increases the cost of care for patients with long-term conditions by at least 45%, or from £3910 to £5670 a year. Managing mental and physical multimorbidity is difficult and poses challenges for all health services.
How did we do it?
Between November 2014 and March 2015 training was delivered to 42 Psychological Wellbeing Practitioners (PWPs), focussing on educating PWPs to work together with primary care professionals to improve physical and psychological health and support self-management for people with long-term conditions (coronary heart disease and/or diabetes). The training was based on the intervention, which is a collaborative care framework to enhance access to stepped care and improve effective liaison with other professionals to improve depression.
PWPs were provided with a training manual and workbook, specifically designed for the intervention, highlighting:
- Psychological intervention dependent on patient preferences
- Medication management
- Frequency and duration of the intervention
- Guidance on collaborative working between patients, mental health professionals and GP and/or practice nurse.
Who did we work with?
The evaluation of this work is currently being integrated into the design of an online training programme.
The key output from the original COINCIDE study is “Integrated primary care for patients with mental and physical multimorbidity: cluster randomised controlled trial of collaborative care for patients with depression comorbid with diabetes or cardiovascular disease“, a paper published in the BMJ in 2015.