|Item #||Item||Where located|
|Primary paper page||Other|
|1||Brief name: CRANIUM (cardiometabolic risk assessment and treatment through a novel integration model for underserved populations with mental illness). The CRANIUM intervention includes the following elements: patient-centered team care, population based care, screening protocols and evidence-based treatment protocols.||Page 15||http://cranium.ucsf.edu/|
|2||Why: changing the behavior of community psychiatrists to initiate treatment of cardiometabolic risk factors was essential for the success of this intervention. As such, we relied heavily on several theoretical framework to develop the intervention (The Behavior Change Wheel, Theoretical Domains Framework, and the theory of planned behavior). We also addressed organizational-level factors that could facilitate the behavior change.||
3a. Patient-centered team-care: each team was provided with roles/responsibilities of each team member.
3b. Population-based care: a patient registry and pre-completed lab slips were provided to teams.
3c. Screening protocols: we based our screening protocols on the 2004 APA/ADA guidelines.
3d. Evidence-based treatment protocols: protocols were placed in all treatment rooms and provided electroinically to psychiatrists.
|Pages 13–14 and Fig. 2||
4a. Patient-centered team-care: all team members meet quarterly to discuss patients. The ePCP is also available for as needed questions online
4b. Population-based care: psychiatrists and case managers received monthly registries on metabolic screening of their patient panels.
4c. Screening protocols: psychiatrists receive a lecture on screening protocols. All team members reviewed patients missing labs at quarterly panel management meetings
4d. Evidence-based treatment protocols: all psychiatrists received a 1× lecture on treatment and discussed patients needing treatment at the quarterly panel management meetings.
|Page 14–15||4c and 4d. http://cranium.ucsf.edu/article/tools-clinicans|
|5||Who provided: the psychiatrists receieved a 1× training on treatment of cardiometabolic risk factors by the primary care consultant. The case manager and peer navigator were taught about panel management.||Page 13–15||
|6||How: the training of psychiatrists on treatment of carediometabolic risk factors was online and/or in person. The panel management meetings were in-person, group meetings. The support from the primary care consultant was individual and delievered electronically, on the phone, or in-person.||Page 13–15||http://cranium.ucsf.edu/article/tools-clinicans|
|7||Where: the intervention itself occurred in the community mental health clinic. The panel management meetings happened quarterly in a clinic conference room||Page 10|
When and how much:|
4a. Patient-centered team-care: all team members met quarterly to identify patients missing labs and/or needing treatment (4c).
4b. Population-based care: psychiatrists and case managers received monthly registries on metabolic screening of their patient panels. All team members reviewed patients missing labs and patients needing treatment at quarterly panel management meetings
4c. Screening protocols: psychiatrists receive a one-time lecture on screening protocols.
4d. Evidence-based treatment protocols: all psychiatrists received a one-time lecture on treatment and discussed patients needing treatment at the quarterly panel management meetings. The ePCP was also available for as needed via phone or email to discuss psychiatrists’ questions about treatment
|9||Tailoring. the intervention was tailored by the opinions of the patients, providers, and administrators. We do not currently know what additional tailoring might be avialble at other sites.||Page 8|
|11||How well (planned)||N/A¥||N/A¥|
|12||How well (actual)||N/A¥||N/A¥|