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 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 Service Use and Self-Reported Symptoms Among Persons With Positive PTSD Screens and Serious Mental Illness

2015 ◽  
Vol 66 (8) ◽  
pp. 845-850 ◽  
Author(s):  
Shula K. Minsky ◽  
Weili Lu ◽  
Steven M. Silverstein ◽  
Michael Gara ◽  
Jennifer D. Gottlieb ◽  
...  
Keyword(s):  
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.

Trends in mental health service use by age among adults with serious mental illness

2019 ◽  
Vol 30 ◽  
pp. 71-73
Author(s):  
Natasha E. Latzman ◽  
Heather Ringeisen ◽  
Valerie L. Forman–Hoffman ◽  
Breda Munoz ◽  
Shari Miller ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Serious Mental Illness ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use

Service Utilization and Psychiatric Diagnosis in Pediatric Primary Care: The Role of the Gatekeeper

PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 435-441
Author(s):  
Elizabeth J. Costello ◽  
Barbara J. Burns ◽  
Anthony J. Costello ◽  
Craig Edelbrock ◽  
Mina Dulcan ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Service Use ◽  
Psychiatric Treatment ◽  
High Specificity ◽  
Physical Illness ◽  
User Group ◽  
Psychiatric Disturbance ◽  
Health Maintenance ◽  
Offset Effect

Levels of morbidity in 789 children 7 to 11 years of age attending two primary care pediatric clinics in a health maintenance organization were examined in relation to psychiatric disturbance. Physical morbidity was measured as mean number of illness episodes per year enrolled, based on the child's medical record. Two measures of psychiatric disturbance were compared: the pediatricians' judgment and a detailed assessment using standard psychiatric interviews with parent and child. Children identified by pediatricians as disturbed had more than twice as many physical illness episodes as nonidentified children. Children identified by the standard psychiatric assessment had the same number of physical illness episodes as nondisturbed children. Pediatricians showed high specificity but low sensitivity to mental illness. Their sensitivity in the high user group was double that in the low user group. These results suggest that (1) the association between mental illness and high use may be, in part, the result of the confounding factor of physicians' judgment; (2) in settings where primary care practitioners serve as "gatekeepers" to mental health services, the offset effect of lower medical service use following psychiatric treatment may be partially explained by this; (3) the source of referral must be taken into account when assessing the offset effect in other settings.

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.

Acute mental health service use by patients with severe mental illness after discharge to primary care in South London

2015 ◽  
Vol 24 (4) ◽  
pp. 208-213 ◽  
Author(s):  
Parashar P Ramanuj ◽  
Carlos FA Carvalho ◽  
Robert Harland ◽  
Philippa A Garety ◽  
Tom KJ Craig ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Severe Mental Illness ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use
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