Psychiatric Services Editor's Choice

January 2019

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.

Carrie Cunningham, M.D., M.P.H.
Lisa B. Dixon, M.D., M.P.H.

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Integrated Care

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.
2018, Volume 69, Issue 3, pp. 254–256

Integrated Care

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.
2018, Volume 69, Issue 2, pp. 133–135

Brief Report

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.
2018, Volume 69, Issue 3, pp. 349–352

Article

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.
2016, Volume 67, Issue 11, pp. 1226–1232

Article

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.
2018, Volume 69, Issue 9, pp. 986–992

Featured in Psychiatric Services From Pages to Practice.

Article

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.
2017, Volume 68, Issue 9, pp. 891–898

Integrated Care

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.
2016, Volume 67, Issue 1, pp. 13–15

Also featured in Mental Health Disparities by Race and Ethnicity of Adults collection.

Brief Report

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.
2016, Volume 67, Issue 3, pp. 346–349

Promoting High-Value Mental Health Care

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.
2017, Volume 68, Issue 10, pp. 990–993

Open Forum

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.
2017, Volume 68, Issue 12, pp. 1296–1298
Also featured in Peer Support collection.

Integrated Care

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.
2013, Volume 64, Issue 9, pp. 828–831

Article

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.
2016, Volume 67, Issue 10, pp. 1062–1067

Integrated Care

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.
2014, Volume 65, Issue 5, pp. 573–576

Integrated Care

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.
2018, Volume 69, Issue 4, pp. 366–369

Also featured in The Psychiatric Workforce Shortage collection.

Article

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.
2016, Volume 67, Issue 11, pp. 1233–1239

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