Integrated Care

Published January 2019

The Psychiatric Services Editor’s Choice provides essential curated collections from recent issues of Psychiatric Services.  Each month, Editor Lisa Dixon and the Early Career Psychiatrist Advisory Committee offer a curated collection from the rich resource of articles published in the journal. Updates will focus on one area, summarizing for the researcher, clinician, and policy analyst the latest information and seminal research with links to specific content from Psychiatric Services.

This first collection focuses on integrated care. Research has shown the shortened life spans of individuals with behavioral health disorders and the many challenges of reducing that mortality and improving overall quality of life. These papers examine the application of integrated care models to target health disparities in community mental health settings, particularly among people with serious mental illness. Druss et al.’s “Psychiatry’s Role in Improving the Physical Health of Patients With Serious Mental Illness: A Report From the American Psychiatric Association” serves as a primer on psychiatry’s role in addressing these health disparities. The collection describes various models of integrated care, including within collaborative care, assertive community treatment, and behavioral health homes. The articles explore ways that integrated care has been implemented within systems of care, including the New York State Office of Mental Health and Los Angeles County, and through teleconsultation with Project Echo. Critical considerations explored within these articles include addressing racial and ethnic health disparities, utilization of peer support specialists, and the financial impact of implementing integrated care models. With effective integration of behavioral health and general health care, we can provide the high-quality care that our patients deserve.

Please note that not all articles in this curated collection are available without a subscription. For access, learn about subscribing to Psychiatric Services.

Psychiatry’s Role in Improving the Physical Health of Patients With Serious Mental Illness: A Report From the American Psychiatric Association
Benjamin G. Druss, M.D., M.P.H., Lydia Chwastiak, M.D., M.P.H., John Kern, M.D., Joseph J. Parks, M.D., Martha C. Ward, M.D., Lori E. Raney, M.D.
Volume 69, Issue 3, pp. 254–256

Integrated Primary Care in Assertive Community Treatment
Benjamin F. Henwood, Ph.D., L.C.S.W., Elizabeth Siantz Ph.D., Debra R. Hrouda Ph.D., L.I.S.W.-S., Debbie Innes-Gomberg, Ph.D., Todd P. Gilmer, Ph.D.
Volume 69, Issue 2, pp. 133–135

Use of a Mental Health Center Collaborative Care Team to Improve Diabetes Care and Outcomes for Patients With Psychosis
Lydia A. Chwastiak, M.D., M.P.H., Mina Luongo, R.N., Joan Russo, Ph.D., Lisa Johnson, A.R.N.P., Jessica M. Lowe, B.A., Gail Hoffman, B.A., Michael G. McDonell, Ph.D., Brent Wisse, M.D.
Volume 69, Issue 3, pp. 349–352

General Medical Outcomes From the Primary and Behavioral Health Care Integration Grant Program
Deborah M. Scharf, Ph.D., Nicole Schmidt Hackbarth, M.A., M.Phil., Nicole K. Eberhart, Ph.D., Marcela Horvitz-Lennon, M.D., M.P.H., Robin Beckman, M.P.H., Bing Han, Ph.D., Harold Alan Pincus, M.D., M. Audrey Burnam, Ph.D.
Volume 67, Issue 11, pp. 1226–1232

Enhanced Child Psychiatry Access and Engagement via Integrated Care: A Collaborative Practice Model With Pediatrics
Katherine E. Grimes, M.D., M.P.H., Timothy B. Creedon, M.A., Cecil R. Webster, M.D., Sara M. Coffey, M.D., Gregory N. Hagan, M.D., Clifton M. Chow, Ph.D.
Volume 69, Issue 9, pp. 986–992

Evaluating the Implementation of Integrated Mental Health Care: A Systematic Review to Guide the Development of Quality Measures
Nadiya Sunderji, M.D., M.P.H. F.R.C.P.C., Allyson Ion, M.Sc., Abbas Ghavam-Rassoul, M.D., M.H.Sc., Amanda Abate, M.D.
Volume 68, Issue 9, pp. 891–898

Eliminating Behavioral Health Disparities and Improving Outcomes for Racial and Ethnic Minority Populations
Katherine Sanchez, Ph.D., L.C.S.W., Rick Ybarra, M.A., Teresa Chapa, Ph.D., M.P.A., Octavio N. Martinez, M.D., M.P.H.
Volume 67, Issue 1, pp. 13–15

The Role of the Integrated Care Psychiatrist in Community Settings: A Survey of Psychiatrists’ Perspectives
Kathryn R. Norfleet, M.D., Anna D. H. Ratzliff, M.D., Ph.D., Ya-Fen Chan, Ph.D., Lori E. Raney, M.D., Jürgen Unützer, M.D., M.P.H.
Volume 67, Issue 3, pp. 346–349

Understanding the Cost of a New Integrated Care Model to Serve CMHC Patients Who Have Serious Mental Illness
Christina Mangurian, M.D., M.A.S., Grace Niu, Ph.D., Dean Schillinger, M.D., John W. Newcomer, M.D., Todd Gilmer, Ph.D.
Volume 68, Issue 10, pp. 990–993

Defining Peer Roles and Status Among Community Health Workers and Peer Support Specialists in Integrated Systems of Care
Allen S. Daniels, Ed.D., Sue Bergeson, Keris Jän Myrick, M.B.A., M.S.
Volume 68, Issue 12, pp. 1296–1298

Integrating General Medical and Behavioral Health Care: The New York State Perspective
Thomas E. Smith, M.D., Matthew D. Erlich, M.D., and Lloyd I. Sederer, M.D.
Volume 64, Issue 9, pp. 828–831

Implementation of Integrated Health Homes and Health Outcomes for Persons With Serious Mental Illness in Los Angeles County
Todd P. Gilmer, Ph.D., Benjamin F. Henwood, Ph.D., L.C.S.W., Marissa Goode, M.S., Andrew J. Sarkin, Ph.D., Debbie Innes-Gomberg, Ph.D.
Volume 67, Issue 10, pp. 1062–1067

Nonfasting Screening for Cardiovascular Risk Among Individuals Taking Second-Generation Antipsychotics
Erik R. Vanderlip, M.D., Lydia A. Chwastiak, M.D., M.P.H., and Robert M. McCarron, D.O.
Volume 65, Issue 5, pp. 573–576

Leveraging Behavioral Health Expertise: Practices and Potential of the Project ECHO Approach to Virtually Integrating Care in Underserved Areas
Brant Hager, M.D., Michael Hasselberg, Ph.D., Eric Arzubi, M.D., Jonathan Betlinski, M.D., Mark Duncan, M.D., Jennifer Richman, M.D., Lori E. Raney, M.D.
Volume 69, Issue 4, pp. 366–369

Integrating Primary Care Into Community Mental Health Centers: Impact on Utilization and Costs of Health Care
Antoinette Krupski, Ph.D., Imara I. West, M.P.H., Deborah M. Scharf, Ph.D., James Hopfenbeck, M.D., Graydon Andrus, M.S.W., Jutta M. Joesch, Ph.D., Mark Snowden, M.D., M.P.H.
Volume 67, Issue 11, pp. 1233–1239