Hill Physicians Medical Group offers 60- to 90-minute group appointments for patients with chronic conditions such as diabetes, hypertension, and chronic obstructive pulmonary disease, as well as menopause, prenatal care, and precolonoscopy; the program has led to improved outcomes for diabetes patients and anecdotal reports of higher patient and physician satisfaction and reduced downstream utilization.
An integrated care program places mental and behavioral health specialists in more than 50 primary care locations to treat patients ages 65 years and older with depression or anxiety and those who engage in risky alcohol use.
A randomized clinical trial at San Francisco General Hospital used visual medication schedules and brief teach-back protocols in English, Spanish, and Cantonese to improve anticoagulant control among low-literacy patients in the public hospital's anticoagulation clinic.
Penobscot Community Health Center provides onsite services at a community health clinic, with psychiatric and medical professionals offering primary care, disease management, mental health, and substance abuse services, along with referrals to additional mental health and other specialty services that may be needed.
The Lutheran Family Health Centers Network, in collaboration with its school-based health program at PS 24 in Brooklyn, NY, has developed a program known as Healthy Body/Healthy Mind (or Cuerpo Sano/Mente Sana in Spanish).
A child mental health agency, the Boston Public Schools, and several other urban community service agencies have joined together to provide school-based mental health and other support services to students and their families living in neighborhoods plagued by poverty and crime.
In collaboration with several community partners, the University of Texas Medical Branch provides remote mental health assessment and treatment services via videoconferencing technology and onsite case management to low-income, minority, and other students and parents in seven school-based primary care clinics in the Galveston Independent School District.
The Automated Telephone Diabetes Management program, a part of the IDEALL project, provided automated telephone monitoring of individuals with poorly controlled type II diabetes who receive their care at four safety net clinics in San Francisco.
The Health Literacy Collaborative of UnityPoint Health (previously Iowa Health System) educates staff on the importance of communicating health information clearly to patients and families regardless of reading ability, creates easy-to-understand materials based on patients' needs and preferences, and trains health care workers to use these materials with their patients.
Psychiatric nurses work intensively with diabetic adults with severe mental illness over a 16-visit intervention to empower them to manage their diabetes more effectively.