Lessons Learned From a Colocation Model Using Psychiatrists in Urban Primary Care Settings

Abstract

Objectives: Comorbid psychiatric illness has been identified as a major driver of health care costs. The colocation of psychiatrists in primary care practices has been proposed as a model to improve mental health and medical care as well as a model to reduce health care costs. Methods: Financial models were developed to determine the sustainability of colocation. Results: We found that the population studied had substantial psychiatric and medical burdens, and multiple practice logistical issues were identified. Conclusion: The providers found the experience highly rewarding and colocation was financially sustainable under certain conditions. The colocation model was effective in identifying and treating psychiatric comorbidities.