A systematic scoping review of interventions to integrate physical and mental healthcare for people with serious mental illness and substance use disorders.

Autor: Richardson A; Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand. Electronic address: amy.richardson@otago.ac.nz., Richard L; Department of General Practice and Rural Health, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand. Electronic address: lauralie.richard@otago.ac.nz., Gunter K; Chicago Center for Diabetes Translation Research, The University of Chicago Department of Medicine, Chicago, IL, 60637, USA. Electronic address: kgunter@medicine.bsd.uchicago.edu., Cunningham R; Department of Public Health, University of Otago, Wellington, PO Box 7343, Wellington, 6242, New Zealand. Electronic address: ruth.cunningham@otago.ac.nz., Hamer H; Helen Hamer & Associates Ltd, Auckland, New Zealand. Electronic address: helen@helenhamer.co.nz., Lockett H; Department of Public Health, University of Otago, Wellington, PO Box 7343, Wellington, 6242, New Zealand. Electronic address: Helen.Lockett@wisegroup.co.nz., Wyeth E; Ngāi Tahu Māori Health Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand. Electronic address: emma.wyeth@otago.ac.nz., Stokes T; Department of General Practice and Rural Health, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand. Electronic address: tim.stokes@otago.ac.nz., Burke M; Addictions, Supportive Accommodation, Reintegration and Palliative Care Services, Salvation Army, PO Box 6015, Wellington, 6141, New Zealand. Electronic address: martin.burke@salvationarmy.org.nz., Green M; South Community Mental Health Team, Southern District Health Board, Private Bag 1921, Dunedin, 9054, New Zealand. Electronic address: Mel.Green@southerndhb.govt.nz., Cox A; Southern District Health Board, New Zealand. Electronic address: Adell.Cox@southerndhb.govt.nz., Derrett S; Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand. Electronic address: sarah.derrett@otago.ac.nz.
Jazyk: angličtina
Zdroj: Journal of psychiatric research [J Psychiatr Res] 2020 Sep; Vol. 128, pp. 52-67. Date of Electronic Publication: 2020 May 27.
DOI: 10.1016/j.jpsychires.2020.05.021
Abstrakt: Integrated care approaches have been recommended to remove barriers to healthcare and improve the physical health outcomes of people living with serious mental illness (SMI) and/or substance use disorders (SUDs). The aim of this systematic scoping review was to describe empirical investigations of interventions designed to integrate physical, mental, and addiction healthcare for this population. An iterative and systematic search of five electronic databases (Medline (Ovid), PsycINFO, CINAHL, Embase (Ovid) and Scopus) was conducted to identify peer-reviewed articles published between January 2000 and April 2019. Two reviewers independently screened publications in two successive stages of title and abstract screening, followed by full-text screening of eligible publications. Data from each included publication were extracted independently by two reviewers using a standardised spreadsheet. A total of 28 eligible publications were identified, representing 25 unique studies. Over half of the included studies investigated the use of case managers to provide self-management skills or to coordinate mental and physical healthcare (n = 14). Other interventions examined the co-location of services (n = 9) and the implementation of screening and referral pathways to specialist treatment (n = 2). Less than half of the included studies described a framework, theory or model that was underpinning the intervention tested. While some aspects of integrated care have been identified and addressed by interventions, other key dimensions have not been considered, such as shared decision-making. Identification of a comprehensive model of integrated care is recommended to inform the development and evaluation of future interventions for people with SMI/SUDs.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2020 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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