scholarly journals Finding 'Win' Factors for People with Serious Mental Illness in New York: a qualitative analysis of primary care provision in behavioral health settings

2017 ◽  
Vol 17 (5) ◽  
pp. 199
Author(s):  
Parashar Pravin Ramanuj ◽  
Rachel Talley ◽  
Scarlett Wang ◽  
Joshua Breslau ◽  
Geraldine Strathdee ◽  
...  
Keyword(s):  
Primary Care ◽  
New York ◽  
Mental Illness ◽  
Qualitative Analysis ◽  
Behavioral Health ◽  
Serious Mental Illness ◽  
Care Provision

Integrating primary care and behavioral health with four special populations: Children with special needs, people with serious mental illness, refugees, and deaf people.

2014 ◽  
Vol 69 (4) ◽  
pp. 377-387 ◽  
Author(s):  
Robert Q Pollard ◽  
William R. Betts ◽  
Jennifer K. Carroll ◽  
Jeanette A. Waxmonsky ◽  
Steven Barnett ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Special Needs ◽  
Behavioral Health ◽  
Serious Mental Illness ◽  
Special Populations ◽  
Deaf People ◽  
Children With Special Needs

scholarly journals Effect of Enhanced Primary Care for People with Serious Mental Illness on Service Use and Screening

2021 ◽  
Author(s):  
Lexie R. Grove ◽  
Alex K. Gertner ◽  
Karen E. Swietek ◽  
Ching-Ching Claire Lin ◽  
Neepa Ray ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Service Use

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.

scholarly journals Primary Care Reform and Service Use by People with Serious Mental Illness in Ontario

2014 ◽  
Vol 10 (1) ◽  
pp. 31-45 ◽  
Author(s):  
Leah Steele ◽  
Anna Durbin ◽  
Elizabeth Lin ◽  
J. Charles Victor ◽  
Julie Klein-Geltink ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Service Use ◽  
Primary Care Reform

scholarly journals Do care plans and annual reviews of physical health influence unplanned hospital utilisation for people with serious mental illness? Analysis of linked longitudinal primary and secondary healthcare records in England

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e023135 ◽  
Author(s):  
Jemimah Ride ◽  
Panagiotis Kasteridis ◽  
Nils Gutacker ◽  
Christoph Kronenberg ◽  
Tim Doran ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Physical Health ◽  
Serious Mental Illness ◽  
Care Quality ◽  
Care Plan ◽  
Care Plans ◽  
Primary Care Quality ◽  
Hospital Utilisation ◽  
Reduced Risk

ObjectiveTo investigate whether two primary care activities that are framed as indicators of primary care quality (comprehensive care plans and annual reviews of physical health) influence unplanned utilisation of hospital services for people with serious mental illness (SMI).Design, setting, participantsRetrospective observational cohort study using linked primary care and hospital records (Hospital Episode Statistics) for 5158 patients diagnosed with SMI between April 2006 and March 2014, who attended 213 primary care practices in England that contribute to the Clinical Practice Research Datalink GOLD database.Outcomes and analysisCox survival models were used to estimate the associations between two primary care quality indicators (care plans and annual reviews of physical health) and the hazards of three types of unplanned hospital utilisation: presentation to accident and emergency departments (A&E), admission for SMI and admission for ambulatory care sensitive conditions (ACSC).ResultsRisk of A&E presentation was 13% lower (HR 0.87, 95% CI 0.77 to 0.98) and risk of admission to hospital for ACSC was 23% lower (HR 0.77, 95% CI 0.60 to 0.99) for patients with a care plan documented in the previous year compared with those without a care plan. Risk of A&E presentation was 19% lower for those who had a care plan documented earlier but not updated in the previous year (HR: 0.81, 95% CI 0.67 to 0.97) compared with those without a care plan. Risks of hospital admission for SMI were not associated with care plans, and none of the outcomes were associated with annual reviews.ConclusionsCare plans documented in primary care for people with SMI are associated with reduced risk of A&E attendance and reduced risk of unplanned admission to hospital for physical health problems, but not with risk of admission for mental health problems. Annual reviews of physical health are not associated with risk of unplanned hospital utilisation.

Sign in / Sign up

Export Citation Format

Share Document