Integration of primary care and mental health in a community health center: A quality improvement project to improve the health of patients with serious and persistent mental illness

Q3 Social Sciences

Journal of Interprofessional Education and Practice Pub Date : 2023-09-01 DOI:10.1016/j.xjep.2023.100646

Karen Jankowski , Kristen Klemenhagen , Roli Dwivedi

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引用次数: 0

Abstract

Background

Severe Persistent Mental Illness (SPMI) is associated with increased morbidity compared with the general population. Our clinic serves a high percentage of SPMI patients.

Purpose

A Substance Abuse and Mental Health Services Administration (SAMHSA) grant enabled our clinic to integrate medical and mental health services with the aim of decreasing morbidity in SPMI patients.

Methods

This multiyear integration project included protocols for metabolic screening, increased staff to coordinate medical and mental health care, formation of an integrated treatment team, and increased patient engagement. Outcomes included biometrics and clinician feedback.

Discussion

Despite significant challenges from the COVID-19 pandemic and civil unrest in our community, we saw improvements in patient biometric measurements by year 3 of the project.

Conclusion

The results of this care model transformation project suggest that integration of primary and mental health care is a promising approach to decrease the burden of physical comorbidities in patients with SPMI.

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社区卫生中心初级保健和精神卫生的结合:一项质量改进项目，旨在改善严重和持续性精神疾病患者的健康状况

背景:与普通人群相比，严重持续性精神疾病(SPMI)的发病率增加。我们的诊所为高比例的SPMI患者提供服务。目的药物滥用和精神卫生服务管理局(SAMHSA)的拨款使我们的诊所能够整合医疗和精神卫生服务，目的是降低SPMI患者的发病率。方法这一多年期的整合项目包括代谢筛查方案、增加人员协调医疗和精神卫生保健、组建综合治疗团队和提高患者参与度。结果包括生物识别和临床医生反馈。尽管2019冠状病毒病(COVID-19)大流行和我们社区的内乱带来了重大挑战，但我们在项目的第三年看到了患者生物特征测量的改善。结论该医疗模式转变项目的结果表明，将初级卫生保健与精神卫生保健相结合是减轻SPMI患者身体合并症负担的有效途径。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Interprofessional Education and Practice Social Sciences-Education

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： Journal of Interprofessional Education & Practice, a quarterly online-only journal, provides innovative ideas for interprofessional educators and practitioners through peer-reviewed articles and reports. Each issue examines current issues and trends in interprofessional healthcare topics, offering progressive solutions to the challenges facing the profession. The Journal of Interprofessional Education & Practice (JIEP) is affiliated with University of Nebraska Medical Center and the official journal of National Academies of Practice (NAP) and supports its mission to serve the public and the health profession by advancing education, policy, practice & research.