Improving Physical Health Among People With Serious Mental Illness: The Role of the Specialty Mental Health Sector
| Autor: | Marisa Elena Domino, Emma E. McGinty, Joshua Breslau, Jonathan D. Brown, Gail L. Daumit, Benjamin G. Druss, Marcela Horvitz-Lennon, Harold Alan Pincus, Karly A. Murphy, Rachel Presskreischer |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Excess mortality education.field_of_study medicine.medical_specialty business.industry Mental Disorders Population Specialty Public policy Physical health Mental illness medicine.disease Mental health Article United States Psychiatry and Mental health Mental Health Workforce medicine Humans education business Psychiatry |
| Zdroj: | Psychiatr Serv |
| ISSN: | 1557-9700 1075-2730 |
| Popis: | People with serious mental illness die 10-20 years earlier, compared with the overall population, and the excess mortality is driven by undertreated physical health conditions. In the United States, there is growing interest in models integrating physical health care delivery, management, or coordination into specialty mental health programs, sometimes called "reverse integration." In November 2019, the Johns Hopkins ALACRITY Center for Health and Longevity in Mental Illness convened a forum of 25 experts to discuss the current state of the evidence on integrated care models based in the specialty mental health system and to identify priorities for future research, policy, and practice. This article summarizes the group's conclusions. Key research priorities include identifying the active ingredients in multicomponent integrated care models and developing and validating integration performance metrics. Key policy and practice recommendations include developing new financing mechanisms and implementing strategies to build workforce and data capacity. Forum participants also highlighted an overarching need to address socioeconomic risks contributing to excess mortality among adults with serious mental illness. |
| Databáze: | OpenAIRE |
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