SPIRIT faculty collaborate with other UW Centers and programs on innovative integrated care research, implementation and training projects. Our goal is to develop strategies and programs to support people with psychosis to effectively manage chronic medical conditions (such as diabetes and HIV) and to improve the healthcare services they receive.
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Integrating behavioral health care and diabetes treatment in a safety net primary care clinic.
SPIRIT faculty collaborated on the development of a new clinical program in an urban safety net primary care clinic to adapt an evidence-based collaborative care model for treatment of depression and diabetes to treat patients with poorly controlled diabetes and a broad range of behavioral health disorders. After the first 18 months of the program, the 151 patients who were referred to the integrated care team were more likely to experience improvement in glycemic control (compared to the 453 patients who were not referred); patients who were referred to the team had, on average, a clinically significant improvement in their A1c (0.8%).
Team Approach to Reaching Goals for Diabetes Treatment (TARGET)
This 2-year project developed a mental health center-based collaborative care intervention for treatment of psychosis and poorly controlled diabetes, and demonstrated its feasibility, acceptability to multiple stakeholder groups and preliminary effectiveness in a pilot randomized controlled trial. Funding source: NIDDK R21DK096286 (PI:Chwastiak)
Improving Care for People with Diabetes & Psychosis
A current project aims to increase understanding of the experience of living with diabetes and psychosis, and in particular, the impact of social determinants of health on diabetes outcomes. This cross-sectional survey of UW Medicine patients will characterize barriers to self-management and identify correlates of consistent performance of self-management behaviors and good disease control. Funding source: Many Minds Collaborative (PI: Chwastiak)
Integrating Mental Health and Substance Use Treatment in Low-Barrier HIV Care
The Max clinic is a Ryan White-funded low-barrier HIV clinic for virally unsuppressed people living with HIV in Seattle-King County. This project will adapt and implement a collaborative care intervention for treatment of depression and opioid use disorder in the Max clinic. Funding source: NIH/National Institute of Mental Health R34 MH124625 (PI: Dombrowski)
SPIRIT faculty collaborate with other UW Centers and programs on innovative integrated care research, implementation and training projects.