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Implementation of a Cardiopsychiatry Clinic for Cardiovascular Primary Prevention in Individuals with Severe Mental

Marina Delli Colli, Soham Rej, Daniel Frank

    Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
    |October 14, 2025
    PubMed

    Insights

    Individuals with severe mental illness (SMI) have high cardiovascular disease risk. A pilot cardiopsychiatry clinic identified new risks and initiated treatment, highlighting the need for integrated care in this population.

    Area of Science:

    • Cardiology
    • Psychiatry
    • Public Health

    Background:

    • Individuals with severe mental illness (SMI) experience double the cardiovascular disease (CVD) risk compared to the general population.
    • Significant disparities in accessing cardiovascular care persist for individuals with SMI.
    • A dedicated cardiopsychiatry clinic was established to address these gaps.

    Purpose of the Study:

    • To assess cardiovascular risk factors in patients with SMI.
    • To initiate evidence-based cardiovascular treatment within an integrated care model.

    Main Methods:

    • A pilot study involving 23 patients with SMI referred from outpatient psychiatry clinics.
    • Data collection included cardiovascular risk factors and calculation of the 10-year Framingham Risk Score.
    • Treatment was initiated according to clinical guidelines for identified risks.

    Main Results:

    • The mean Framingham Risk Score was 13.8%.
    • Smoking (61%) and obesity (74%) were highly prevalent.
    • Over half (57%) had newly identified cardiovascular risks, leading to new pharmacological treatments for hypertension, dyslipidemia, and diabetes.

    Conclusions:

    • The cardiopsychiatry clinic model effectively identifies and addresses cardiovascular risks in individuals with SMI.
    • Integrated screening and treatment are crucial for this high-risk population.
    • Further research with larger cohorts is needed to confirm these findings and address care gaps.
    Abstract

    Keywords:
    Social determinantsaccountable carehealth systemmental healthpatient- and family-centered carepopulation healthquality of carequality of lifequality-improvement methods (e.g., Six Sigma/Lean)risk management

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