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Research in Integrated Psychiatric Care

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Integrated Care in Psychiatry

Abstract

Advances in neuroscience have brought us closer to a better understanding of the pathology and etiology of psychiatric illness and substance use disorders, and led to new efforts in treatment development. However, any new treatments will be of limited utility if they are not implemented in standard clinical practice. Integrated care has been shown by research studies to be one potential way of improving care for those patients who are seen in primary care settings and to some extent improve medical care delivered in mental health settings. This chapter presents research outlining the issues regarding health care services for those with psychiatric illness and substance abuse, a description of current models of integrated care, research on these models, limitations of current research, future research needs, and implications of research findings for current practice and policy.

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References

  1. Kessler RC, Chiu WT, Dernier O. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry. 2005;62:617–27.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442.

    Article  PubMed Central  PubMed  Google Scholar 

  3. New federal guidelines seek to help primary care providers recognize and treat depression. Agency for Health Care Policy and Research (AHCPR) of the Dept. of Human Services. Hosp Community Psychiatry. 1993;44(6):598

    Google Scholar 

  4. Substance Abuse and Mental Health Services Administration. Results from the 2010 national survey on drug use and health: summary of national findings, NSDUH Series H-41, HHS Publication No. (SMA) 11-4658. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2011.

    Google Scholar 

  5. Colton CW, Manderscheid RW. Congruencies in increased mortality rates, years of potential life lost, and causes of death among public health clients in eight states. Prev Chronic Dis. 2006;3:1–14.

    Google Scholar 

  6. Brown S, Inskip H, Barraclough B. Causes of the excess mortality of schizophrenia. Br J Psychiatry. 2000;177:212–7.

    Article  CAS  PubMed  Google Scholar 

  7. Druss BG, Rohrbaugh RM, Levinson CM. Integrated medical care for patients with serious psychiatric illness. Arch Gen Psychiatry. 2001;58:861–8.

    Article  CAS  PubMed  Google Scholar 

  8. Chang C, Hayes R, Perea G, Broadbent MTM, Fernandes AC, Lee WE, et al. Life expectancy at birth for people with serious mental illness and other major disorders from a secondary mental health care case register in London. PLoS One. 2011;6(5):e19590.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Malzberg B. Mortality among patients with involution melancholia. Am J Psychiatry. 1937;93:1231–8.

    Google Scholar 

  10. Wang PS, Demler O, Olfson M, Pincus HA, Wells KB, Kessler RC. Changing profiles of service sectors used for mental health care in the United States. Am J Psychiatry. 2006;163(7):1187–98.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Regier D, Narrow W, Rae D, Manderscheid R, Locke B, Goodwin F. The de factor U.S. mental and addictive disorders service system: epidemiological catchment area prospective 1-year prevalence rates of disorders and services. Arch Gen Psychiatry. 1993;50:85–94.

    Article  CAS  PubMed  Google Scholar 

  12. Bartels SJ, Coakley EH, Zubritsky C, Ware JH, Miles KM, Arean PA, et al. Improving access to geriatric mental health services: a randomized trial comparing treatment engagement with integrated versus enhanced referral care for depression, anxiety, and at-risk alcohol use. Am J Psychiatry. 2004;161(8):1455–62.

    Article  PubMed  Google Scholar 

  13. Young AS, Klap R, Sherbourne CD, Wells KB. The quality of care for depressive and anxiety disorders in the United States. Arch Gen Psychiatry. 2001;58:55–61.

    Article  CAS  PubMed  Google Scholar 

  14. Payne JM, Fortney JC, Tripathi SP, Maciejewski ML, Edlund MJ, Williams DK. Cost-effectiveness analysis of a rural telemedicine collaborative care intervention for depression. Arch Gen Psychiatry. 2010;67(8):812–21.

    Article  Google Scholar 

  15. Interian A, Lewis-Fernandez R, Dixon LB. Improving treatment engagement of underserved U.S. racial-ethnic groups: a review of recent interventions. Psychiatr Serv. 2013;64(3):212–22.

    Article  PubMed  Google Scholar 

  16. Butler M, Kane RL, McAlpine D, Kathol RG, Fu SS, Hagedorn H, Wilt T. Does integrated care improve treatment for depression? A systematic review. J Ambul Care Manage. 2011;34(2): 113–25.

    Google Scholar 

  17. Wulsin LR, Wolfgang S, Pincus HA. Models of integrated care. Med Clin North Am. 2006;90(4):647–77.

    Article  PubMed  Google Scholar 

  18. Horvitz-Lennon M, Kilbourne AM, Pincus HA. From silos to bridges: meeting the general health care needs of adults with severe mental illnesses. Health Aff. 2006;25(3):659–69.

    Article  Google Scholar 

  19. Strandberg-Larsen M. Measuring integrated care. An international comparative study. Dan Med Bull. 2011;58(2):b4245.

    PubMed  Google Scholar 

  20. Summergrad P, Hackett TP. Alan Gregg and the rise of general hospital psychiatry. Gen Hosp Psychiatry. 1987;9(6):439–45.

    Article  CAS  PubMed  Google Scholar 

  21. Thielke S, Vannoy S, Unutzer J. Integrating mental health and primary care. Prim Care. 2007;34:571–92.

    Article  PubMed  Google Scholar 

  22. Post EP, Metzger M, Dumas P, Lehmann L. Integrating mental health into primary care within the veterans health administration. Fam Syst Health. 2010;28(2):83–90.

    Article  PubMed  Google Scholar 

  23. Unutzer J, Chan YF, Hafer E, Knaser J, Shields A, Powers D, et al. Quality improvement with pay-for-performance incentives in integrated behavioral health care. Am J Pubic Health. 2012;102(6):e41–5.

    Article  Google Scholar 

  24. Chan Y, Huang H, Sieu N, Unutzer J. Substance screening and referral for substance abuse treatment in an integrated mental health care program. Psychiatr Serv. 2013;64(1):88–90.

    Article  PubMed Central  PubMed  Google Scholar 

  25. Wells KB, Sherbourne CD, Miranda J, Tang L, Benjamin B, Duan N. The cumulative effects of quality improvement for depression on outcome, disparities over 9 years: results from a randomized, controlled group-level trial. Med Care. 2007;45(11):1052–9.

    Article  PubMed  Google Scholar 

  26. Katon WJ, Lin EHB, Korff MV, Ciechanowski P, Ludman EJ, Young B, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363(27):2611–20.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  27. Brawer PA, Martinelli R, Pye PL, Manwaring J, Tierney A. St. Louis initiative for integrated care excellence (SLI 2 CE): integrated-collaborative care on a large scale model. Fam Syst Health. 2010;28(2):175–87.

    Article  PubMed  Google Scholar 

  28. Rost KM. Improving depression treatment by integrated care. J Manag Care Pharm. 2005;11 (3 Suppl):S5–8.

    PubMed  Google Scholar 

  29. Archer J, Bower P, Gilbody S, Lovell K, Richards D, Gask L, et al. Collaborative care for depression and anxiety problems. Cochrane Database Syst Rev. 2012;10:1–27.

    Google Scholar 

  30. Chang-Quan H, Bi-Rong D, Zhen-Chan L, Yuan Z, Yu-Sheng P, Qing-Xiu L. Collaborative care interventions for depression in the elderly: a systematic review of randomized controlled trails. J Invest Med. 2009;57(2):446–55.

    Google Scholar 

  31. Bazelon Center for Mental Health Law. Get it together: how to integrate physical and mental health care for people with serious mental disorders. Washington, DC: Bazelon Center; 2004.

    Google Scholar 

  32. Fleury MJ, Bamvita JM, Tremblay J. Variables associated with general practitioners taking on serious mental disorder patients. BMC Family Practice. 2009. http://www.biomedcentral.com/1471-2296/10/41. Accessed Mar 2013.

  33. Druss BG, Esenwein SAV, Compton MT, Zhao L, Leslie DL. Budget impact and sustainability for medical care management for persons with serious mental illnesses. Am J Psychiatry. 2011;168(11):1171–8.

    Article  PubMed Central  PubMed  Google Scholar 

  34. Strategies to improve cardiovascular risk factors in people with serious mental illness. A comparative effectiveness review. Agency for Healthcare Research and Quality. 2012. www. Effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-eports/?

    Google Scholar 

  35. Desan PH, Zimbrean PC, Weinstein AJ, Bozzo JE, Sledge WH. Proactive psychiatric consultation services reduce length of stay for admissions to an inpatient medical team. Psychosomatics. 2011;52(6):513–20.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39216, USA

    Grayson S. Norquist M.D., M.S.P.H.

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  1. Grayson S. Norquist M.D., M.S.P.H.
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Correspondence to Grayson S. Norquist M.D., M.S.P.H. .

Editor information

Editors and Affiliations

  1. School of Medicine, Tufts University, Boston, Massachusetts, USA

    Paul Summergrad

  2. Cartesian Solutions, Inc., University of Minnesota, Burnsville, Minnesota, USA

    Roger G. Kathol

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Norquist, G.S. (2014). Research in Integrated Psychiatric Care. In: Summergrad, P., Kathol, R. (eds) Integrated Care in Psychiatry. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0688-8_13

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  • DOI: https://doi.org/10.1007/978-1-4939-0688-8_13

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-0687-1

  • Online ISBN: 978-1-4939-0688-8

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