Quality of care for substance use disorders in patients with serious mental illness

2006 ◽  
Vol 30 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Amy M. Kilbourne ◽  
Ihsan Salloum ◽  
David Dausey ◽  
Jack R. Cornelius ◽  
Joseph Conigliaro ◽  
...  
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Quality Of Care ◽  
Substance Use Disorders ◽  
Serious Mental Illness

Quality of Care for Florida Nursing Home Residents With Serious Mental Illness

2006 ◽  
Author(s):  
Kathy Hyer ◽  
Christopher Johnson ◽  
Victor A. Molinari ◽  
Marion Becker
Keyword(s):  
Mental Illness ◽  
Nursing Home ◽  
Quality Of Care ◽  
Serious Mental Illness ◽  
Nursing Home Residents

scholarly journals Creating a ‘reverse’ integrated primary and mental healthcare clinic for those with serious mental illness

2015 ◽  
Vol 17 (05) ◽  
pp. 421-427 ◽  
Author(s):  
Alexandros Maragakis ◽  
Ragavan Siddharthan ◽  
Jill RachBeisel ◽  
Cassandra Snipes
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Illness ◽  
Quality Of Care ◽  
Serious Mental Illness ◽  
Mental Healthcare ◽  
Policy Reforms ◽  
Mental Health Settings ◽  
Primary Care Practitioners

Individuals with serious mental illness (SMI) are more likely to experience preventable medical health issues, such as diabetes, hyperlipidemia, obesity, and cardiovascular disease, than the general population. To further compound this issue, these individuals are less likely to seek preventative medical care. These factors result in higher usage of expensive emergency care, lower quality of care, and lower life expectancy. This manuscript presents literature that examines the health disparities this population experiences, and barriers to accessing primary care. Through the identification of these barriers, we recommend that the field of family medicine work in collaboration with the field of mental health to implement ‘reverse’ integrated care (RIC) systems, and provide primary care services in the mental health settings. By embedding primary care practitioners in mental health settings, where individuals with SMI are more likely to present for treatment, this population may receive treatment for somatic care by experts. This not only would improve the quality of care received by patients, but would also remove the burden of managing complex somatic care from providers trained in mental health. The rationale for this RIC system, as well as training and policy reforms, are discussed.

A Multisite Study of the Prevalence of Serious Mental Illness, PTSD, and Substance Use Disorders of Women in Jail

2014 ◽  
Vol 65 (5) ◽  
pp. 670-674 ◽  
Author(s):  
Shannon M. Lynch ◽  
Dana D. DeHart ◽  
Joanne E. Belknap ◽  
Bonnie L. Green ◽  
Priscilla Dass-Brailsford ◽  
...  
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Serious Mental Illness

Surgical Adverse Outcomes in Patients with Serious Mental Illnes

2021 ◽  
Vol 1 (4) ◽  
pp. 71-75
Author(s):  
Gerry Armando
Keyword(s):  
Mental Illness ◽  
Quality Of Care ◽  
Serious Mental Illness ◽  
Adverse Outcomes ◽  
Medical Procedure ◽  
Key Factor ◽  
Comorbidity Status

Serious mental illness (SMI) influences 3 % of the populace and incorporates handicapping types of despondency and uneasiness, just as maniacal issues, for example, bipolar and schizophrenia. Patients with schizophrenia were known to have a higher risk of complications during hospitalization. Quality of care has become the key factor in reducing their potential mortality afterwards. Patients with SMI were substantially less liable to have significant medical procedure, in the wake of controlling for age, other segment measures, and illness trouble. For patients of a similar age, sex, race and comorbidity status, having a previous genuine psychological instability passed on a significantly diminished probability of careful mediation. Clinical and careful hospitalizations for people with schizophrenia had in some measure double the chances of a few kinds of unfriendly occasions than those for people without schizophrenia. These antagonistic occasions were related with poor clinical and financial results during the emergency clinic confirmation. Endeavors to decrease these unfriendly occasions should turn into an examination need.

scholarly journals Interventions to integrate care for people with serious mental illness and substance use disorders: a systematic scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031122 ◽  
Author(s):  
Amy Richardson ◽  
Lauralie Richard ◽  
Kathryn Gunter ◽  
Sarah Derrett
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Integrated Care ◽  
Substance Use Disorders ◽  
Serious Mental Illness ◽  
Scoping Review ◽  
Integrate Care ◽  
Scoping Reviews ◽  
Review Protocol ◽  
Empirical Investigations

IntroductionPeople with serious mental illness (SMI) and/or substance use disorders (SUDs) have an elevated risk of premature mortality compared with the general population. This has been attributed to higher rates of chronic illness among these individuals, but also to inequities in healthcare access and treatment. Integrated care has the potential to improve the health of people with SMI/SUDs. The aims of this scoping review are to: (1) identify empirical investigations of interventions designed to integrate care for people with SMI/SUDs; (2) describe the underlying theories, models and frameworks of integrated care that informed their development; and (3) determine the degree to which interventions address dimensions of a comprehensive and validated framework of integrated care.Methods and analysisGuidelines for best practice and reporting of scoping reviews will be followed using the framework of Arksey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses scoping review checklist. An iterative and systematic search of peer-reviewed publications reporting empirical research findings will be conducted. This literature will be identified by searching five databases: Medline (Ovid), PsycINFO, CINAHL, Embase (Ovid) and Scopus. The search will be restricted to articles published between January 2000 and April 2019. Two reviewers will independently screen publications in two successive stages of title and abstract screening, followed by full-text screening of eligible publications. A tabular summary and narrative synthesis will be completed using data extracted from each included study. A framework synthesis will also be conducted, with descriptions of interventions mapped against a theoretical framework of integrated care.Ethics and disseminationThis review will identify the extent and nature of empirical investigations evaluating interventions to integrate care for people with SMI/SUDs. Ethical approval was not required. A team of relevant stakeholders, including people with lived experience of mental health conditions, has been established. This team will be engaged throughout the review and will ensure that the findings are widely disseminated. Dissemination will include publication of the review in a peer-reviewed journal. The review protocol has been registered through Open Science Framework and can be accessed athttps://osf.io/njkph/

scholarly journals Surgical Adverse Outcomes in Patients with Serious Mental Illnes

2021 ◽  
Vol 1 (4) ◽  
pp. 71-75
Author(s):  
Gerry Armando
Keyword(s):  
Mental Illness ◽  
Quality Of Care ◽  
Serious Mental Illness ◽  
Adverse Outcomes ◽  
Medical Procedure ◽  
Key Factor ◽  
Comorbidity Status

Serious mental illness (SMI) influences 3 % of the populace and incorporates handicapping types of despondency and uneasiness, just as maniacal issues, for example, bipolar and schizophrenia. Patients with schizophrenia were known to have a higher risk of complications during hospitalization. Quality of care has become the key factor in reducing their potential mortality afterwards. Patients with SMI were substantially less liable to have significant medical procedure, in the wake of controlling for age, other segment measures, and illness trouble. For patients of a similar age, sex, race and comorbidity status, having a previous genuine psychological instability passed on a significantly diminished probability of careful mediation. Clinical and careful hospitalizations for people with schizophrenia had in some measure double the chances of a few kinds of unfriendly occasions than those for people without schizophrenia. These antagonistic occasions were related with poor clinical and financial results during the emergency clinic confirmation. Endeavors to decrease these unfriendly occasions should turn into an examination need.

Psychiatric Rehabilitation Outcomes Among Hispanics with Co-Occurring Serious Mental Illness and Substance Use Disorders: A Systematic Review

2017 ◽  
Vol 48 (1) ◽  
pp. 40-49 ◽  
Author(s):  
Jennifer Sánchez ◽  
Veronica Muller ◽  
Magdalena E. Garcia ◽  
Stephany N. Martinez ◽  
Scott T. Cool ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Substance Use ◽  
Serious Mental Illness ◽  
Psychiatric Rehabilitation ◽  
Treatment Strategies ◽  
Rehabilitation Outcomes ◽  
Psychiatric Hospitalizations ◽  
Evidenced Based

Purpose: To conduct a systematic literature review relating to psychiatric rehabilitation (PsyR) outcomes of Hispanics with co-occurring serious mental illness (SMI) and substance use disorder (SUD) and to identify the most appropriate evidenced-based practices (EBPs) to facilitate treatment strategies for this population. Method: The following electronic databases were used to search multiple keywords and keyword combinations: MEDLINE/PubMed, SpringerLink, and Education Resources Information Center (ERIC). The initial search resulted in a total of 911 articles. Next, 906 articles from the initial search were excluded because they did not meet inclusion criteria for the following reasons: duplicates (n = 50), not relating to PsyR outcomes (n = 718) or to co-occurring SMI and SUD (n = 53), and not including Hispanics (n = 85). Five articles were retained for this study. Results: The included studies were classified by intervention into three categories: Integrated Mental Health and Substance Abuse Treatments (3), Motivational Interviewing (1), and Psychosocial Resources (1). Outcomes included reduction in mental health and PTSD symptoms, increased abstinence, decrease in substance use and psychiatric hospitalizations, improved self-efficacy for recovery, and better quality of life (QOL). Conclusion: This review identified several successful PsyR outcomes for Hispanics with co-occurring SMI and SUD; however, it also highlighted the limited availability of extant literature focused on EBPs for Hispanics with co-occurring SMI and SUD. As the Hispanic population increases, their specific needs should be addressed.

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