Table 3 Policy categories for the CRANIUM collaborative care model
Intervention function | Policy category | Candidate policies to support the delivery of the intervention functions |
|---|---|---|
Education | Guidelines | Treatment protocols for management of metabolic disorders were distributed (on-line and laminated). |
Persuasion | Communication/marketing | Mugs and birthday cards with logo for clinic staff; logo on algorithms |
Incentivization | Fiscal measures | Treats (e.g., cookies) were provided to the team with the highest metabolic screening rates. |
Coercion | Service provision | Treatment teams knew which teams were the “best” and might be coerced to compete |
Training | Guidelines | A primary care physician reviewed guidelines and protocols for management of metabolic disorders. |
Service provision | Established a support service of a primary care consultant for psychiatrists to access on-line | |
Environmental restructuring | Environmental/social planning | Restructuring the clinic to include in pre-completed lab slips in all interview rooms. |
Stepped care approach where peer navigators could assist patients in going to phlebotomy services. | ||
Modeling | Service provision | Medical Director adopts behavior change and becomes the champion and role model for other staff. |
Enablement | Environmental/social planning | Changing roles where psychiatrist can safely initiate treatment of common metabolic abnormalities. |