Models of care for populations with chronic conditions and mental/behavioral health comorbidity

April Joy Damian, Joseph J Gallo

Research output: Contribution to journalReview articlepeer-review

Abstract

Recent decades have seen increased interest in the integration of mental and physical healthcare. Healthcare reform in the US has provided an opportunity for integration of evidence-based mental health programmes. Three quarters of patients with behavioural health disorders are seen in medical settings, where behavioural problems are largely unaddressed. The human and economic toll of unaddressed mental and behavioural health needs is enormous and often hidden from view, since the behavioural or mental health implications of medical conditions like heart disease and diabetes have only recently begun to be appreciated. This paper has three goals: (1) to review models of integrated services delivery, providing a framework for making sense of strategies for integration; (2) to consider some evidence for clinical outcomes when care is integrated; and (3) to highlight some factors that enhance or impede integration in practice. The review concludes with comments on where the field is going.

Original languageEnglish (US)
Pages (from-to)157-169
Number of pages13
JournalInternational Review of Psychiatry
Volume30
Issue number6
DOIs
StatePublished - Nov 2 2018

Keywords

  • coordinated care
  • Health services research
  • integrated care
  • mental and physical health
  • primary healthcare

ASJC Scopus subject areas

  • Psychiatry and Mental health

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