Life Goals Collaborative Care (LGCC) - SAMHSA-HRSA Center for ...

Life if GGoals l
Collaborative Care
Life Life Goals Goals Collaborative Collaborative Care (LGCC)
(LGCC)
Amy MM. Kilbourne Kilbourne, PhD PhD, MPH
Dept. of Psychiatry University of Michigan
VA Ann Arbor Health Services Research and Development
UUniversity i i of f Mi Michigan hi DDepression i CCenter

Life Goals Collaborative Care
• LGCC is an evidence evidence‐based based psychosocial intervention designed to
improve medical and psychiatric outcomes for persons with
mood disorders through personal goal‐setting aligned with
wellness and symptom coping strategies and supported through
collaborative ll b ti care.
• Consumer‐centered program based on the Chronic Care Model
shown to improve physical and mental health outcomes for
persons with bipolar disorder in 3 randomized controlled trials
• Closes the gap between physical and mental health by
integrating g gtailored psychosocial py sessions with collaborative care
management
• Recently expanded to serious mental illness, and found to be
effective for those with co‐occurring substance use disorders

LGCC Description
• LGCC hl helps persons maintain i t i a vision ii ttowards d
achieving their personal goals while providing
practical day‐to‐day day to day support in working on specific
health‐related objectives that help them achieve
these goals over time
• LGCC focuses on prevention of adverse medical
outcomes through g a unique q combination of health
behavior change, psychotherapy, and motivational
enhancement

The Life Goals Collaborative Care Model
Medical
and psychiatric care
decision support
Integrated Life Goals:
Provider Symptoms &
Support Wellness
Medical &
Psychiatric
Care Management
Self‐management
focused on
personal goals
Enhanced access/continuity
supported by registry
Bauer MS et al. Psych Serv 2006; Kilbourne AM et al. Psych Serv 2008

Life Goals Collaborative Care
Development
1996 - 2006 LGCC ddeveloped l d bbased d on consumer ffeedback db k
Tested in two large randomized controlled trials nationwide
Manual (v.1.0) published (translated in Spanish, French)
2006 - 2008 2 nd Generation randomized clinical trial adapted LGCC to
address improving medical and psychiatric outcomes
Manuals (v. ( 2.0) ) and intervention packages p g for
providers, administrators, and consumers
2009 - present Publication of Overcoming Bipolar Disorder (LGCC
workbook) for providers & consumers
Several provider trainings implemented (e.g., for MSW,
nursing psychiatry, psychology, international scholars)
Manuals developed for mood disorders, SMI

hf5
LGCC Consumer Workbook Published by New Harbinger

Slide 6
hf5 Add description and details about text to supplement image.
heidi frankenhauser, 11/3/2010

hf6
Life Goals Goals Collaborative Collaborative Care:
Care:
The Consumer’s Consumer’s Experience
Session 1 Session 3
WEEK ONE WEEK THREE SIX MONTH FOLLOW‐UP WITH
WEEK TWO WEEK FOUR HEALTH SPECIALIST
Session 2 Session 4
Following the session work, work the Health
Specialist will initiate contact with the
consumer at agreed upon monthly
scheduled times, for 10‐15 minute
intervals for the following:
�Assist with wellness goals
�Review medications
�Collaborate �Collaborate on care
�Assist with mood monitoring
�Review of lessons learned

Slide 7
hf6 Might be helpful to break down and re-create into two slides that describe sessions and follow-ups separately (to simplify and reduce
text). That- or perhaps a more simplified timeline followed by one r two slides that break down session content.
heidi frankenhauser, 11/3/2010

Life Goals Session Content
Session 1 Session 3
• Self management &
• Depression overview and
CCollaborative ll b i CCare
• Understanding Mood
Symptoms
•Identifying Core Values
• MMood dDi Disorders d & Wellness Wll • Ati Action plan l for f depression d i
Session 1
Session 2
symptoms
• Triggers to depressive
episodes
• “What’s Your Experience”?
Session 3
• Mania/anxiety overview &
symptoms
• Triggers to episodes
• “What’s Your Experience”?
• Action plan for symptoms
Session 4
• Your Wellness Plan
• Building and Strengthening
Collaboration of Care
Rl P ti
“Wh t’ Y E i ”? • Relapse Prevention
Session 2 Session 4

Why Implement LGCC in your Setting?
• LGCC was originally developed for bipolar disorder one
• LGCC was originally developed for bipolar disorder, one
of the most costly mental disorders and is part of the
Collaborative Care Model family
• LGCC addresses the “unwanted co‐travelers” associated
with mood disorders, including cardiovascular disease,
diabetes, anxiety, and substance use
• LGCC is manual‐based, scalable, and practical to
implement
• LGCC can be adapted to other mental disorders
commonly seen in primary care settings

LGCC References
1.Kilbourne AM, , Post EP, , Nossek A, , Drill L, , Cooley y S, , Bauer MS. Improving p gmedical
and
psychiatric outcomes among individuals with bipolar disorder: a randomized controlled
trial. Psychiatr Serv. 2008 ;59:760‐8.
2. Bauer MS, McBride L, Williford WO, Glick H, Kinosian B, Altshuler L, Beresford T,
Kilbourne AM, , Sajatovic j M; ; Cooperative p Studies Program g 430 Study y Team. Collaborative
care for bipolar disorder: part I. Intervention and implementation in a randomized
effectiveness trial. Psychiatr Serv. 2006;57:927‐36.
3. Bauer MS, McBride L, Williford WO, Glick H, Kinosian B, Altshuler L, Beresford T,
Kilbourne AM, Sajatovic M; Cooperative Studies Program 430 Study Team. Collaborative
care for bipolar disorder: Part II. Impact on clinical outcome, function, and costs.
Psychiatr Serv. 2006;57:937‐45.
4. Simon GE, Ludman EJ, Bauer MS, Unützer J, Operskalski B. Long‐term effectiveness
and cost of a systematic care program for bipolar disorder. Arch Gen Psychiatry.
2006;63:500‐8.
5. Kilbourne AM, Biswas K, Pirraglia PA, Sajatovic M, Williford WO, Bauer MS. Is the
collaborative chronic care model effective for patients with bipolar disorder and co‐
occurring conditions? J Affect Disord. 2009;112: 256 256‐61. 61.