TY - JOUR
KW - healthcare delivery
KW - interdisciplinary teams
KW - primary care
KW - serious mental illness
AU - A. Maragakis
AU - R. Siddharthan
AU - J. RachBeisel
AU - C. Snipes
A1 - 
AB - 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.
BT - Primary health care research & development
C5 - Healthcare Disparities
CP - 5
CY - England
DO - 10.1017/S1463423615000523
IS - 5
JF - Primary health care research & development
N2 - 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.
PP - England
PY - 2016
SN - 1477-1128; 1463-4236
SP - 421
EP - 427
EP - 
T1 - Creating a 'reverse' integrated primary and mental healthcare clinic for those with serious mental illness
T2 - Primary health care research & development
TI - Creating a 'reverse' integrated primary and mental healthcare clinic for those with serious mental illness
U1 - Healthcare Disparities
U2 - 26586369
U3 - 10.1017/S1463423615000523
VL - 17
VO - 1477-1128; 1463-4236
Y1 - 2016
ER -