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.

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

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.

Telepsychiatry Use in Rural Areas in the United States

2020 ◽  
Vol 13 (4) ◽  
pp. 1-13
Author(s):  
Alberto Coustasse ◽  
Morgan Ruley ◽  
Tonnie C. Mike ◽  
Briana M. Washington ◽  
Anna Robinson
Keyword(s):  
Mental Health ◽  
United States ◽  
Quality Of Care ◽  
Rural Areas ◽  
Care Delivery ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Access And Quality

Rural areas have experienced a higher than average shortage of healthcare professionals. Numerous challenges have limited access to mental health services. Some of these barriers have included transportation, number of providers, poverty, and lack of insurance. Recently, the utilization of telepsychiatry has increased in rural areas. The purpose of this review was to identify and coalesce the benefits of telepsychiatry for adults living in rural communities in the United States to determine if telepsychiatry has improved access and quality of care. The methodology for this study was a literature review that followed a systematic approach. References and sources were written in English and were taken from studies in the United States between 2004 and 2018 to keep this review current. Fifty-nine references were selected from five databases. It was found that several studies supported that telepsychiatry has improved access and quality of care available in rural environments. At the same time, telepsychiatry in mental healthcare has not been utilized as it should in rural adult populations due to lack of access, an overall shortage of providers, and poor distribution of psychiatrists. There are numerous benefits to implementing telepsychiatry in rural areas. While there are still barriers that prevent widespread utilization, telepsychiatry can improve mental health outcomes by linking rural patients to high-quality mental healthcare services that follow evidence-based care and best practices. Telepsychiatry utilization in rural areas in the United States has demonstrated to have a significant ability to transform mental health care delivery and clinician productivity. As technology continues to advance access, telepsychiatry will also advance, making access more readily available.

scholarly journals EPA guidance on the quality of mental health services: A systematic meta-review and update of recommendations focusing on care coordination

2020 ◽  
Vol 63 (1) ◽  
Author(s):  
W. Gaebel ◽  
A. Kerst ◽  
B. Janssen ◽  
T. Becker ◽  
M. Musalek ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Care Coordination ◽  
Mental Healthcare ◽  
Advantages And Disadvantages ◽  
Meta Review ◽  
Effectiveness And Efficiency

Abstract Background. The quality of mental health services is crucial for the effectiveness and efficiency of mental healthcare systems, symptom reduction, and quality of life improvements in persons with mental illness. In recent years, particularly care coordination (i.e., the integration of care across different providers and treatment settings) has received increased attention and has been put into practice. Thus, we focused on care coordination in this update of a previous European Psychiatric Association (EPA) guidance on the quality of mental health services. Methods. We conducted a systematic meta-review of systematic reviews, meta-analyses, and evidence-based clinical guidelines focusing on care coordination for persons with mental illness in three literature databases. Results. We identified 23 relevant documents covering the following topics: case management, integrated care, home treatment, crisis intervention services, transition from inpatient to outpatient care and vice versa, integrating general and mental healthcare, technology in care coordination and self-management, quality indicators, and economic evaluation. Based on the available evidence, we developed 15 recommendations for care coordination in European mental healthcare. Conclusions. Although evidence is limited, some concepts of care coordination seem to improve the effectiveness and efficiency of mental health services and outcomes on patient level. Further evidence is needed to better understand the advantages and disadvantages of different care coordination models.

Improving quality of care for mental illness in an uninsured, low-income primary care population

2007 ◽  
Vol 29 (4) ◽  
pp. 302-309 ◽  
Author(s):  
Larry B. Mauksch ◽  
Randall Reitz ◽  
Suzanne Tucker ◽  
Steve Hurd ◽  
Joan Russo ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Quality Of Care ◽  
Low Income ◽  
Primary Care Population

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.

Incorporating Exercise Professionals in Mental Health Settings: An Australian Perspective

2019 ◽  
Vol 8 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Hamish Fibbins ◽  
Oscar Lederman ◽  
Rachel Morell ◽  
Bonnie Furzer ◽  
Kemi Wright ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Mental Illness ◽  
Premature Mortality ◽  
Health Organizations ◽  
Physical Activity Interventions ◽  
Mental Health Settings

ABSTRACT Low rates of physical activity, in addition to other poor physical health behaviors, contribute to lower quality of life and increased rates of premature mortality for people living with mental illness. Physical activity reduces this mortality gap while simultaneously improving mood, cognitive function, and symptomology for a variety of psychiatric disorders. While physical activity programs are feasible and acceptable in this population, significant barriers exist that limit long-term adherence. Accredited exercise physiologists (AEPs) are best-placed in Australia to lead physical activity interventions for people living with mental illness. Additionally, AEPs provide an important role in improving culture change within mental health settings by influencing clinicians' attitudes to physical activity interventions. Leading international mental health organizations should collaborate and promote the role of physical activity to increase the provision of such services to people living with mental illness.

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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