Point Person: Jan Dillard LCSW, Elissa Nickolopoulos LCSW, Greg Brown MD
Relevant Dotphrases: .CLARIFYINGALLIANCE (info for you about Alliance Health), .DOCALLIANCEBEHAVIORALREFERRAL (info for the patient about Alliance Health), .CRISISSERVICES (info for the patient about crisis mental health services)
Identifying the “right” behavioral/mental health treatment options can be complex for patients given insurance and provider limitations.
For patients with PHQ-9 score of 10-19 (mild to moderate) with a diagnosis of depression and/or an anxiety diagnosis—GAD7 ≥ 10, they may qualify for Collaborative Care Management
Who can help:
- Discuss with DOC Team Social Work (Jan Dillard, Elissa Nickolopolous) or Greg Brown, prior to providing patient with behavioral health resources. They will guide you with appropriate information for the patient and for the after visit summary
- If the Social Work team agrees that the patient is a good candidate for Collaborative Care Management, they will let you know and generate a referral for you to sign. For more information on Collaborative Care, please look here: Duke WELL Collaborative Care Model flyer
- If neither Team Social Work nor Dr Brown are available in clinic, don’t hesitate to order an ‘ECommunication DOC Behavioral Health‘ for further review and recommendations.
The following is provided as a reference. There are nuances to what patients qualify for services, so it’s never the wrong answer to check-in with Social Work about next steps.
By Insurance
Patients with Medicaid/Uninsured
Patients with Medicaid Managed Care
Crisis Options
988
The 988 Suicide and Crisis Lifeline is a national lifeline launched on July 16, 2022 to meet growing mental health needs.
To use this resource:
- Any person can call or text 988 to connect with trained, compassionate, mental health counselors who can help with acute crisis.
- People can also visit 988lifeline.org to begin a live chat session.
- Veterans, service members, and their families can call 988 and press 1 to speak to a responder at the Veterans Crisis Lifeline who is trained in crisis intervention and military culture.
