TY - JOUR
KW - California
KW - Delivery of Health Care, Integrated/organization & administration
KW - Health Services Needs and Demand/organization & administration
KW - Humans
KW - Mental Disorders/therapy
KW - Nursing Staff/organization & administration
KW - Patient Care Team/organization & administration
KW - Primary Health Care/organization & administration
KW - Social Work/organization & administration
AU - C. H. Nover
A1 - 
AB - Individuals with serious mental illness are at increased risk of developing secondary physical illnesses because of lifestyle and psychiatric treatment-related factors. Many individuals with mental illness participate in primary care clinics, such as Placer County Community Clinic (PCCC), which provides primary care and medication-only psychiatric services to low-income county residents. This qualitative study describes an augmented care program provided to this population at PCCC and explores participant experiences with that program. The augmented program consisted of a full-time social worker and part-time registered nurse working as a team to coordinate care between providers, and provide psychosocial education and illness management support. Previous studies have demonstrated that similar programs result in improved clinical outcomes for people with mental illness but have largely not included perspectives of participants in these pilot programs. This article includes participant reports about medical service needs, barriers, and beneficial elements of the augmented program. Medical service needs included the need to provide input in treatment and to be personally valued. Barriers ranged from doubts about provider qualifications to concerns about medication. Elements of the augmented care program that participants found beneficial were those involving care coordination, social support, and weight management support.
BT - Social work in health care
C5 - General Literature
CP - 7
CY - United States
DO - 10.1080/00981389.2013.797537
IS - 7
JF - Social work in health care
N2 - Individuals with serious mental illness are at increased risk of developing secondary physical illnesses because of lifestyle and psychiatric treatment-related factors. Many individuals with mental illness participate in primary care clinics, such as Placer County Community Clinic (PCCC), which provides primary care and medication-only psychiatric services to low-income county residents. This qualitative study describes an augmented care program provided to this population at PCCC and explores participant experiences with that program. The augmented program consisted of a full-time social worker and part-time registered nurse working as a team to coordinate care between providers, and provide psychosocial education and illness management support. Previous studies have demonstrated that similar programs result in improved clinical outcomes for people with mental illness but have largely not included perspectives of participants in these pilot programs. This article includes participant reports about medical service needs, barriers, and beneficial elements of the augmented program. Medical service needs included the need to provide input in treatment and to be personally valued. Barriers ranged from doubts about provider qualifications to concerns about medication. Elements of the augmented care program that participants found beneficial were those involving care coordination, social support, and weight management support.
PP - United States
PY - 2013
SN - 1541-034X; 0098-1389
SP - 656
EP - 668
EP - 
T1 - Mental health in primary care: perceptions of augmented care for individuals with serious mental illness
T2 - Social work in health care
TI - Mental health in primary care: perceptions of augmented care for individuals with serious mental illness
U1 - General Literature
U2 - 23947541
U3 - 10.1080/00981389.2013.797537
VL - 52
VO - 1541-034X; 0098-1389
Y1 - 2013
ER -