The collaborative model of mental health care for older Iowans.

Collaborative models of mental health care, such as Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) and Primary Care Research in Substance Abuse and Mental Health for the Elderly (PRISM-E), have become a standard, evidence-based approach in providing care to older adults with depression. This article describes the development, evaluation, and sustainability plans for a new model, the Collaborative Model of Mental Health Care for Older Iowans (the Iowa Model). The Iowa Model reflects a state-of-the-art approach relative to existing collaborative models targeting older adults. This model allows for a greater range of mental health problems to be identified and treated, facilitates flexibility in staffing and other site-specific operations, requires formal diagnostic assessments, and supports a treatment plan that goes well beyond symptom-specific, time-limited approaches. Importantly, the Iowa Model features an implementation strategy that focuses on the administrative and financing operations needed to ensure successful development.