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Related Experiment Videos

Screening CMHC outpatients for physical illness.

D A Bartsch1, D L Shern, L E Feinberg

  • 1Colorado Division of Mental Health, Denver 80236.

Hospital & Community Psychiatry
|July 1, 1990
PubMed
Summary

Physical health problems are common in public mental health outpatients. Routine medical screenings are recommended to identify and manage these co-occurring conditions in psychiatric care.

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Area of Science:

  • Public Health
  • Psychiatry
  • Internal Medicine

Background:

  • Co-occurring physical disorders are prevalent in psychiatric outpatients.
  • Early identification of physical conditions can improve mental health treatment outcomes.

Purpose of the Study:

  • To determine the prevalence of physical disorders among outpatients in Colorado's public mental health system.
  • To assess the impact of physical conditions on mental health diagnoses.

Main Methods:

  • A cohort of 175 outpatients from two community mental health centers were included.
  • Comprehensive medical screenings, including physical examinations and laboratory analyses, were performed.

Main Results:

  • 46% of patients had physical conditions or lab results needing further evaluation.
  • 20% had previously undiagnosed physical health problems.
  • 16% had conditions that could cause or worsen their mental disorder.

Conclusions:

  • Public mental health systems should implement routine physical health assessments for psychiatric outpatients.
  • Guidelines for medical screening procedures in public mental health settings are suggested.

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