TY - JOUR
AU - M. Ambreen
AU - S. Zhang
AU - O. C. Melamed
AU - C. Canning
AU - B. Lo
AU - S. M. Agarwal
AU - A. M. Burhan
AU - M. E. Del Giudice
AU - M. R. van Kesteren
AU - Konkolÿ Thege
AU - S. Sockalingam
AU - T. Rodak
AU - T. Tajirian
AU - C. Walker
AU - V. Stergiopoulos
A1 - 
AB - Individuals living with serious mental illness (SMI) face significant barriers to accessing appropriate physical health care, poorer associated health outcomes and premature mortality compared to the general population. This scoping review examines service delivery models and clinical practices supporting the integration of physical health care for adults with SMI within mental health settings, and their outcomes. Searches of four academic databases yielded 65 academic articles. Most integrated service delivery models were implemented in community mental health settings in the United States and incorporated elements of Wagner's Chronic Care Model, emphasizing delivery-system redesign, patient self-management support and use of clinical information systems. In most outcome studies, integrated care models were associated with improvements in primary care access and preventative screening rates, while other physical health indicators and emergency and inpatient service use demonstrated promising but mixed results. Implementation challenges of integrated service delivery models included securing financial resources and maintaining effective use of clinical information systems, among others. Successful implementation was facilitated by effective teamwork, care coordination, and administrative and leadership support. Study findings highlight the complexity of integrating physical health care in mental health settings, and the longer timeframes needed to observe changes in some outcomes. The review further underscores the need for ongoing efforts to advance integrated care delivery in mental health settings and the importance of longitudinal data collection to fully assess and optimize the implementation and outcomes of these interventions. Systematic Review Registration: https://doi.org/10.17605/OSF.IO/3T9VK.
AD - Centre for Addiction and Mental Health, Toronto, ON, Canada.; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.; Waypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, ON, Canada.; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.; Ontario Shores Centre for Mental Health Sciences, Whitby, ON, Canada.
AN - 40621435
BT - Front Health Serv
C5 - Healthcare Disparities
DO - 10.3389/frhs.2025.1570100
DP - NLM
ET - 20250620
JF - Front Health Serv
LA - eng
N2 - Individuals living with serious mental illness (SMI) face significant barriers to accessing appropriate physical health care, poorer associated health outcomes and premature mortality compared to the general population. This scoping review examines service delivery models and clinical practices supporting the integration of physical health care for adults with SMI within mental health settings, and their outcomes. Searches of four academic databases yielded 65 academic articles. Most integrated service delivery models were implemented in community mental health settings in the United States and incorporated elements of Wagner's Chronic Care Model, emphasizing delivery-system redesign, patient self-management support and use of clinical information systems. In most outcome studies, integrated care models were associated with improvements in primary care access and preventative screening rates, while other physical health indicators and emergency and inpatient service use demonstrated promising but mixed results. Implementation challenges of integrated service delivery models included securing financial resources and maintaining effective use of clinical information systems, among others. Successful implementation was facilitated by effective teamwork, care coordination, and administrative and leadership support. Study findings highlight the complexity of integrating physical health care in mental health settings, and the longer timeframes needed to observe changes in some outcomes. The review further underscores the need for ongoing efforts to advance integrated care delivery in mental health settings and the importance of longitudinal data collection to fully assess and optimize the implementation and outcomes of these interventions. Systematic Review Registration: https://doi.org/10.17605/OSF.IO/3T9VK.
PY - 2025
SN - 2813-0146
SP - 1570100
ST - Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings
T1 - Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings
T2 - Front Health Serv
TI - Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings
U1 - Healthcare Disparities
U3 - 10.3389/frhs.2025.1570100
VL - 5
VO - 2813-0146
Y1 - 2025
ER -