3 - (IOP 37) A Multifaceted Outpatient Treatment Model for Mood and Anxiety Disorders Designed to Optimize Both Treatment Outcomes and Access to Care

Friday, November 21, 2025

10:30 AM - 10:45 AM CST

Location: Empire D, Level 2

Keywords: Treatment/ Program Design, Anxiety, Depression
Recommended Readings: Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: an emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health, 36(1), 24–34. https://doi.org/10.1007/s10488-008-0197-4, Sun, C. F., Correll, C. U., Trestman, R. L., Lin, Y., Xie, H., Hankey, M. S., Uymatiao, R. P., Patel, R. T., Metsutnam, V. L., McDaid, E. C., Saha, A., Kuo, C., Lewis, P., Bhatt, S. H., Lipphard, L. E., & Kablinger, A. S. (2023). Low availability, long wait times, and high geographic disparity of psychiatric outpatient care in the US. General Hospital Psychiatry, 84, 12–17. https://doi.org/10.1016/j.genhosppsych.2023.05.012, Williams, M. E., Latta, J., & Conversano, P. (2008). Eliminating the wait for mental health services. The journal of behavioral health services & research, 35, 107–114. https://doi.org/10.1007/s11414-007-9091-1, ,

author(s)

Jeremy Tyler, Psy.D.

Associate Professor of Clinical Psychiatry
Perelman School of Medicine at the University of Pennsylvania
Philadelphia, PA, United States

Co-Author(s)

MO

Maria A. Oquendo, M.D., Ph.D.

Ruth Meltzer Professor and Chairman of Psychiatry
Perelman School of Medicine, University of Pennsylvania
Philadelphia, PA, United States
PC

Paul Crits-Christoph, Ph.D.

Professor
Perelman School of Medicine at the University of Pennsylvania
Philadelphia, PA, United States
MC

Mario Cristancho, M.D.

Associate Professor of Clinical Psychiatry
Perelman School of Medicine at the University of Pennsylvania
Philadelphia, PA, United States
JG

Juliette Galbraith, M.D.

Psychiatrist
Life Coaching for Women Physicians
Philadelphia, PA, United States
RC

Rachel Y. Chiu, B.A.

Research Coordinator
University of Pennsylvania School of Medicine
Philadelphia, PA, United States
Lang Duong, B.S.

Clinical Psychology PhD Student
University of Miami
Coral Gables, FL, United States
MC

Mary Beth Connolly Gibbons, Ph.D.

Professor
Perelman School of Medicine at the University of Pennsylvania
Philadelphia, PA, United States

Objective. Despite the availability of evidence-based psychosocial and pharmacologic interventions for mental health concerns, access to care remains suboptimal. We present a time-efficient mental health treatment program designed to improve overall community access to evidence-based care. Quality of care within the time-efficient model was prioritized by focusing on a multifaceted program of evidence-based interventions and facilitating connections to long term care when needed. We present the results of a proof-of-concept open trial that indicates that access to care can be improved while maintaining quality mental health services.
Method. The Time-Efficient, Evidence-Based, Accessible, Multidisciplinary (TEAM) approach includes time-limited care provided by a team of psychotherapists, psychiatrists, nurse practitioners, and case managers working in pods, supported by measurement-based care, to develop individualized treatment plans. We used data from the electronic health record to evaluate: (a) access to care, (b) engagement, and (c) treatment outcomes for an initial sample of 1,726 patients.
Results. Patients waited on average 17 days to see a therapist and 20 days to see a psychopharmacologist. Patients received on average ten sessions of psychotherapy and four medication management sessions. Fifty-seven percent remained in treatment for at least three months. Patients demonstrated large improvements in depression (d = 1.18) and anxiety (d = 1.20) with small to moderate effects for improvements in functioning (d = .40).
Conclusions. By capitalizing on a package of evidence-based interventions delivered with equitable time limits, the TEAM clinic demonstrates initial access while yielding good engagement in services and moderate to large treatment effects.

Learning Objectives:

At the end of this session, the learner will be able to:

Describe the structure and implementation of the TEAM clinic model.