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Primary care for those with severe and persistent mental illness

C Crews1, H Batal, T Elasy

  • 1University of Colorado Health Sciences Center, Denver, USA.

The Western Journal of Medicine
|October 31, 1998
PubMed
Summary

Primary care clinics for persons with severe and persistent mental illness (SPMI) improve healthcare. Integrating medical and mental health services offers hope for better outcomes for at-risk patients.

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Area of Science:

  • Medical care for severe and persistent mental illness (SPMI)
  • Integrated healthcare models
  • Primary care in mental health settings

Background:

  • Historically suboptimal medical care for persons with SPMI.
  • Significant gaps and poor coordination in existing services.
  • Concerns regarding the impact of managed care on undertreated SPMI patients.

Purpose of the Study:

  • To improve healthcare for patients with SPMI.
  • To explore the benefits of integrating primary care and mental health services.
  • To share instructive experiences for other healthcare systems.

Main Methods:

  • Initiation of dedicated primary care clinics for patients with SPMI.
  • Focus on integrating medical and mental health services.

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  • Observation and documentation of the clinic's experience.

    • Main Results:

    • Establishment of exclusive primary care clinics for SPMI patients.
    • Belief in the efficacy of integrated care models.
    • Experience deemed instructive for broader healthcare systems.

    Conclusions:

    • Integrated primary care and mental health services offer the best hope for improving healthcare for SPMI patients.
    • Dedicated clinics can address gaps in care for this population.
    • The model developed is potentially applicable to other healthcare systems.