Integrated Care for Older Adults with Serious Mental Illness and Medical Comorbidity: Evidence-based Models and Future Research Directions

Details

• Alternative Title:
  Psychiatr Clin North Am
• Personal Author:
  Bartels, Stephen J. ; DiMilia, Peter R. ; Fortuna, Karen L. ; Naslund, John A.
• Description:
  The excess risk of early mortality, medical comorbidity, early institutionalization, and high costs among older adults with serious mental illness necessitates development and dissemination of effective and sustainable integrated care models that simultaneously address mental and physical health needs. This overview highlights current, evidence-based integrated care models, which predominantly adopt the following approaches: (1) psychosocial skills training, (2) integrated illness self-management, and (3) collaborative care and behavioral health homes. Finally, innovative models that build on these approaches by incorporating novel uses of telehealth, mobile health technology and peer support, and strategies from developing economies are discussed.
• Subjects:
  Article Chronic Disease Cognitive Remediation Collaborative Care Comorbidity Delivery Of Health Care, Integrated Elderly Humans Illness Self Management Integrated Care Mental Disorders Older Adult Self-Management Serious Mental Illness Telemedicine

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• Source:
  Psychiatr Clin North Am. 41(1):153-164
• Pubmed ID:
  29412843
• Pubmed Central ID:
  PMC5806142
• Document Type:
  Journal Article
• Funding:
  T32 MH073553/MH/NIMH NIH HHSUnited States/ ; P30 DA029926/DA/NIDA NIH HHSUnited States/ ; U48 DP005018/DP/NCCDPHP CDC HHSUnited States/ ; R01 MH102325/MH/NIMH NIH HHSUnited States/ ; R01 MH104555/MH/NIMH NIH HHSUnited States/ ; R01 DD000140/DD/NCBDD CDC HHSUnited States/
• Volume:
  41
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:dc97edbd8c52a2779f42e0bb1485ed482f61d2f41ad38aeacb51e20a8a1c75df
• Download URL:
  https://stacks.cdc.gov/view/cdc/51666/cdc_51666_DS1.pdf
• File Type:
  [PDF - 75.42 KB ]