{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:39:05Z","timestamp":1777876745454,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Access to quality mental health medication management (MM) in the United States is limited, even among those with employment-based health insurance. This implementation, feasibility, and outcome study sought to design and evaluate an evidence-based telemental health MM service using a collaborative care model (CoCM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>CoCM MM was available to adult employees\/dependents through their employer benefits, in addition to therapy. Outcomes included Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder-7 (GAD-7) collected at baseline and throughout participation. This analysis was not deemed to be human subjects research by the Western Institutional Review Board.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Over 17 months, 212 people enrolled and completed &gt;2 assessments; the enrollees were 58.96% female with average age of 32.00 years (standard deviation [SD]\u2009=\u20097.38). In people with moderate to severe depression or anxiety, PHQ-9 and GAD-7 scores reduced by an average of 7.27 (SD\u2009=\u20094.80) and 6.71 (SD\u2009=\u20095.18) points after at least 12\u2009\u00b1\u20094 weeks in the program. At 24\u2009\u00b1\u20094 weeks, the PHQ-9 and GAD-7 reductions were on average 7.17 (SD\u2009=\u20095.00) and 6.03 (SD\u2009=\u20095.37), respectively. Approximately 65.88% of participants with either baseline depression or anxiety had a response on either the PHQ-9 or GAD-7 at 12\u2009\u00b1\u20094 weeks and 44.71% of participants experienced remission; at 24\u2009\u00b1\u20094 weeks, 56.41% had response and 41.03% experienced remission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>An evidence-based CoCM telemedicine service within an employee behavioral health benefit is feasible and effective in reducing anxiety and depression symptoms when using measurement-based care. Widespread implementation of a benefit like this could expand access to evidence-based mental health MM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2021.0401","type":"journal-article","created":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T11:01:31Z","timestamp":1640257291000},"page":"1035-1043","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Telemental Health Collaborative Care Medication Management: Implementation and Outcomes"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3970-9872","authenticated-orcid":false,"given":"Smita","family":"Das","sequence":"first","affiliation":[{"name":"Lyra Health, Burlingame, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Wang","sequence":"additional","affiliation":[{"name":"Internal Medicine Residency Program, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shih-Yin","family":"Chen","sequence":"additional","affiliation":[{"name":"Lyra Health, Burlingame, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Connie E.","family":"Chen","sequence":"additional","affiliation":[{"name":"Lyra Health, Burlingame, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,7,4]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.3216"},{"key":"e_1_3_4_3_2","first-page":"CD006525","article-title":"Collaborative care for depression and anxiety problems","volume":"10","author":"Archer J","year":"2012","unstructured":"Archer J, , Bower P, , Gilbody S, et al. 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