Models of Care for Co-occurring Mental and Medical Disorders

Meyer, F.J.; Peteet, John R.; Joseph, Robert

doi:10.3109/10673220903463325

Cited by 16 publications

(5 citation statements)

References 55 publications

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“…Co-occurring disorders were defined as a comorbid condition including at least one alcohol or other substance use disorder and at least one non-substance related mental disorder. [44,45]…”

Section: Mental and Substance Use Disordersmentioning

confidence: 99%

Mental and substance use disorders and food insecurity among homeless adults participating in the At Home/Chez Soi study

et al. 2020

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Background Few studies have examined how food insecurity changes over time when living with severe mental disorders or substance use disorders. This study identifies food insecurity trajectories of homeless adults participating in a trial of a housing intervention and examines whether receiving the intervention and having specific mental and substance disorders predict food insecurity trajectories.

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“…Co-occurring disorders were defined as a comorbid condition including at least one alcohol or other substance use disorder and at least one non-substance related mental disorder. [44,45]…”

Section: Mental and Substance Use Disordersmentioning

confidence: 99%

Mental and substance use disorders and food insecurity among homeless adults participating in the At Home/Chez Soi study

et al. 2020

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“…The fragmentation in services requires reform involving new services and partnerships between mental and physical health‐care providers (Lawrence & Kisely ; Meyer et al . ). While integrated models focusing on either mental health services or primary medical services are under way (Bartels ; Druss & von Esenwein ; Happell et al .…”

Section: Introductionmentioning

confidence: 97%

Mental Health Nurse Incentive Program: Facilitating physical health care for people with mental illness?

Happell

Platania‐Phung

Scott

2012

Int J Mental Health Nurs

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People with serious mental illness have increased rates of physical ill-health and reduced contact with primary care services. In Australia, the Mental Health Nurse Incentive Program (MHNIP) was developed to facilitate access to mental health services. However, as a primary care service, the contribution to physical health care is worthy of consideration. Thirty-eight nurses who were part of the MHNIP participated in a national survey of nurses working in mental health about physical health care. The survey invited nurses to report their views on the physical health of consumers and the regularity of physical health care they provide. Physical health-care provision in collaboration with general practitioners (GPs) and other health-care professionals was reported as common. The findings suggest that the MHNIP provides integrated care, where nurses and GPs work in collaboration, allowing enough time to discuss physical health or share physical health activities. Consumers of this service appeared to have good access to physical and mental health services, and nurses had access to primary care professionals to discuss consumers' physical health and develop their clinical skills in the physical domain. The MHNIP has an important role in addressing physical health concerns, in addition to the mental health issues of people accessing this service.

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“…As a result of interacting physical and mental health concerns, people with schizophrenia or bipolar disorders can experience a reduction in life span of up to 20 years [4][5][6]. Moreover, certain medications used to treat severe mental illnesses are associated with adverse physical health outcomes, often leading to increased healthcare system utilization [5,7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Financial considerations have been cited as a barrier to the implementation of shared mental health care in prior research; specifically, concerns were identified around primary care physicians' inadequate reimbursement for mental health services [7]. Higher "no show" and cancellation rates for patients with mental illness also negatively impacts physicians' income who are paid through a fee-for-service compensation model [9].…”

mentioning

confidence: 99%

Shared Care Practices in Community Addiction and Mental Health Services: A Qualitative Study on the Experiences and Perspectives of Stakeholders

et al. 2022

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Shared care involves collaboration between primary care, secondary and tertiary care that enables the allocation of responsibilities of care according to the treatment needs of patients over the course of a mental illness. This study aims to determine stakeholders’ perspectives on the features of an ideal shared care model and barriers to practicing shared care within addiction and mental health programs in Edmonton, Canada. This is a qualitative cross-sectional study with data collected through focus group discussions. Participants included patients, general practitioners, psychiatrists, management, and therapists working in primary and secondary addiction and mental health. Responses were audio-recorded, transcribed, and analyzed thematically. Perceived barriers to the implementation of an ideal shared care model identified by participants include fragmented communication between primary and secondary healthcare providers, patient and family physician discomfort with discussing addiction and mental health, a lack of staff capacity, confidentiality issues, and practitioner buy-in. Participants also identified enablers to include implementing shared electronic medical record systems, improving communication and collaboration, physical co-location, and increasing practitioner awareness of appropriate referrals and services. This original research provides stakeholders’ perspectives on the features of an ideal shared care model and barriers to practicing shared care within addiction and mental health programs.

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Models of Care for Co-occurring Mental and Medical Disorders

Cited by 16 publications

References 55 publications

Mental and substance use disorders and food insecurity among homeless adults participating in the At Home/Chez Soi study

Mental and substance use disorders and food insecurity among homeless adults participating in the At Home/Chez Soi study

Mental Health Nurse Incentive Program: Facilitating physical health care for people with mental illness?

Shared Care Practices in Community Addiction and Mental Health Services: A Qualitative Study on the Experiences and Perspectives of Stakeholders

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