Young adults with diabetes mellitus have a high prevalence of mental health (MH) disorders and uncontrolled diabetes. Behavioral health professionals (BHP) are not a standard part of adult diabetes care but could help address barriers to effective self-management.
We piloted a diabetes collaborative care model for young adults with diabetes (DCCYA) that incorporates a BHP alongside a diabetes care provider during joint office visits. Eligible patients included new patients to the MGH Diabetes Center, 18-30 years old, with type 1 (T1D) or type 2 diabetes. We determined DCCYA feasibility, defined by clinic volume and retention rate, and described DCCYA patient characteristics, from 9/1/2021-6/1/2022.
There were 23 DCCYA patients (29% of eligible patients) and 55 (71%) usual care patients. Fifteen DCCYA patients were due for follow-up and 14 (93%) were retained. DCCYA patients were mean age 24+2 years, 26% female, and 78% non-Hispanic white. Most (96%) had T1D with diabetes duration of 11+6 years. At presentation, 48% had a clinical history of MH disorders. Baseline HbA1c of DCCYA patients was 8.6+2.4%; this improved to 7.6%+1.7 (NS).
DCCYA is feasible. Future reports will compare characteristics and diabetes and MH care parameters of DCCYA patients with usual care patients.