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01-05-2020 | Care | Brief Report

Providing Effective Primary Care for Patients with Serious Mental Illness: Additional Components to Enhance Practice

Authors: Beat Daniel Steiner, Jack Todd Wahrenberger, Lori Raney

Published in: Community Mental Health Journal | Issue 4/2020

Abstract

Despite pronounced disparities in mortality and physical health outcomes, no well accepted models exist for integrating primary care with behavioral health for patients with serious mental illness (SMI). This article describes a case study of an enhanced approach to primary care that builds on the patient centered medical home (PCMH) model and adds three additional components: (1) longer and more frequent visits to establish trust and increase adherence, (2) a primary care team that has both the skills to provide effective primary care and the heart to take care of patients with SMI and (3) planned and proactive communication between the behavioral health team and the primary care team.

Altschuler, J., Margolius, D., Bodenheimer, T., & Grumbach, K. (2012). Estimating a reasonable panel size for primary care physicians with team based task delegation. Annals of Family Medicine,10(5), 396–400.CrossRef

Archer, J., Bower, P., Gilbody, S., Lovell, K., Richards, D., Gask, L., et al. (2012). Collaborative care for depression and anxiety problems. The Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD006525.pub2.CrossRefPubMed

Druss, B. G., Chwastiak, L., Kern, J., Parks, J. J., Ward, M. C., & Raney, L. E. (2018). Psychiatry’s role in improving the physical health of patients with serious mental illness: A report from the American Psychiatric Association. Psychiatric Services,69(3), 254–256.CrossRef

Foster, A., Gable, J., & Buckley, J. (2012). Homelessness in schizophrenia. Psychiatric Clinics of North America,35(3), 717–734.CrossRef

Jackson, G.L., Powers, B.J., Chatterjee, R., Prvu Bettger, J.P., Kemper, A.R., Hasselblad, V.,…,Williams, J.W. (2013). Improving patient care. The patient centered medical home. A systematic review. Annals of Internal Medicine258(3) 169–78,

Miller, B. J., Paschall, C. B., & Svendsen, D. P. (2006). Mortality and medical comorbidity in people with serious mental Illness. Psychiatric Services,57(10), 1482–1487.CrossRef

Olfson, M., Gerhard, T., Huang, C., Crystal, S., & Stroup, T. S. (2015). Premature Mortality Among Adults With Schizophrenia in the United States. The Journal of the American Medical Association Psychiatry,72(12), 1172–1181.PubMed

Perrin, J., Reimann, B., Capobianco, J., Wahrenberger, J. T., Sheitman, B. B., & Steiner, B. D. (2018). A model of enhanced primary care for patients with serious mental illness. North Carolina Medical Journal,79(4), 240–244.CrossRef

Raney, L. E., Lasky, G. B. (2017). The primary care provider (Chap. 5). In: Integrated care: A guide for effective implementation (pp. 153–154.) Arlington, VA: American Psychiatric Association Services.

Scharf, D. M., Eberhart, N. K., Schmidt, N., Vaughan, C. A., Dutta, T., Pincus, H. A., et al. (2013). Integrating primary care into community behavioral health settings: Programs and early implementation experiences. Psychiatric Services,64(7), 660–665.CrossRef

Title: Providing Effective Primary Care for Patients with Serious Mental Illness: Additional Components to Enhance Practice
Authors: Beat Daniel Steiner
Jack Todd Wahrenberger
Lori Raney
Publication date: 01-05-2020
Publisher: Springer US
Keyword: Care
Published in: Community Mental Health Journal / Issue 4/2020
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-019-00517-2

At a glance: The STEP trials

Springer Medicine

Providing Effective Primary Care for Patients with Serious Mental Illness: Additional Components to Enhance Practice

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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