TY - JOUR KW - Advisory Committees KW - Cooperative Behavior KW - Family Practice/methods KW - Government KW - Humans KW - Mental Health Services/organization & administration KW - Politics KW - Quality of Health Care/standards KW - United States AU - J. Unutzer AU - M. Schoenbaum AU - B. G. Druss AU - W. J. Katon A1 - AB - This paper is based on a report commissioned by the Subcommittee on Mental Health Interface With General Medicine of the Presidents New Freedom Commission on Mental Health. Although mental and medical conditions are highly interconnected, medical and mental health care systems are separated in many ways that inhibit effective care. Treatable mental or medical illnesses are often not detected or diagnosed properly, and effective services are often not provided. Improved mental health care at the interface of general medicine and mental health requires educated consumers and providers; effective detection, diagnosis, and monitoring of common mental disorders; valid performance criteria for care at the interface of general medicine and mental health; care management protocols that match treatment intensity to clinical outcomes; effective specialty mental health support for general medical providers; and financing mechanisms for evidence-based models of care. Successful models exist for improving the collaboration between medical and mental health providers. Recommendations are presented for achieving high-quality care for common mental disorders at the interface of general medicine and mental health and for overcoming barriers and facilitating use of evidence-based quality improvement models. BT - Psychiatric services (Washington, D.C.) C5 - Financing & Sustainability; Key & Foundational CP - 1 CY - United States DO - 10.1176/appi.ps.57.1.37 IS - 1 JF - Psychiatric services (Washington, D.C.) N2 - This paper is based on a report commissioned by the Subcommittee on Mental Health Interface With General Medicine of the Presidents New Freedom Commission on Mental Health. Although mental and medical conditions are highly interconnected, medical and mental health care systems are separated in many ways that inhibit effective care. Treatable mental or medical illnesses are often not detected or diagnosed properly, and effective services are often not provided. Improved mental health care at the interface of general medicine and mental health requires educated consumers and providers; effective detection, diagnosis, and monitoring of common mental disorders; valid performance criteria for care at the interface of general medicine and mental health; care management protocols that match treatment intensity to clinical outcomes; effective specialty mental health support for general medical providers; and financing mechanisms for evidence-based models of care. Successful models exist for improving the collaboration between medical and mental health providers. Recommendations are presented for achieving high-quality care for common mental disorders at the interface of general medicine and mental health and for overcoming barriers and facilitating use of evidence-based quality improvement models. PP - United States PY - 2006 SN - 1075-2730; 1075-2730 SP - 37 EP - 47 EP - T1 - Transforming mental health care at the interface with general medicine: Report for the presidents commission T2 - Psychiatric services (Washington, D.C.) TI - Transforming mental health care at the interface with general medicine: Report for the presidents commission U1 - Financing & Sustainability; Key & Foundational U2 - 16399961 U3 - 10.1176/appi.ps.57.1.37 VL - 57 VO - 1075-2730; 1075-2730 Y1 - 2006 ER -