Effects of care models to improve general medical outcomes for individuals with serious mental illness

Individuals with serious mental illness (SMI) have shortened life expectancies relative to the general population to an extent that is not explained by unnatural causes such as suicide or accidents. Numerous studies show higher rates of acute and chronic illnesses, lower quality general medical care...

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Bibliographic Details
Main Author: Bradford, Daniel W.
Corporate Author: United States Department of Veterans Affairs
Other Authors: Slubicki, Monica N., Avishek, Nagi, Wing, Liz
Format: eBook
Language:English
Published: [Washington, D.C.] Dept. of Veterans Affairs [2011], 2011
Series:Evidence-based synthesis program
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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100 1 |a Bradford, Daniel W. 
245 0 0 |a Effects of care models to improve general medical outcomes for individuals with serious mental illness  |h Elektronische Ressource  |c prepared for Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Center, Durham Veterans Affairs Healthcare System, John W. Williams, director ; investigators, principal investigator, Daniel W Bradford ; co-investigators, Monica N Slubicki ... [et al.] ; research associate, Avishek Nagi ; medical editor, Liz Wing 
260 |a [Washington, D.C.]  |b Dept. of Veterans Affairs  |c [2011], 2011 
300 |a 1 PDF file (iii, 60 p.)  |b ill 
505 0 |a Includes bibliographical references 
653 |a Mental Disorders / therapy 
653 |a Outcome Assessment, Health Care 
653 |a Mental Health Services 
653 |a Chronic Disease 
653 |a Health Services Research 
653 |a Comorbidity 
700 1 |a Slubicki, Monica N. 
700 1 |a Avishek, Nagi 
700 1 |a Wing, Liz 
710 2 |a United States  |b Department of Veterans Affairs 
041 0 7 |a eng  |2 ISO 639-2 
989 |b NCBI  |a National Center for Biotechnology Information 
490 0 |a Evidence-based synthesis program 
500 |a "September 2011." 
856 4 0 |u https://www.ncbi.nlm.nih.gov/books/NBK100924  |3 Volltext  |n NLM Bookshelf Books  |3 Volltext 
082 0 |a 610 
520 |a Individuals with serious mental illness (SMI) have shortened life expectancies relative to the general population to an extent that is not explained by unnatural causes such as suicide or accidents. Numerous studies show higher rates of acute and chronic illnesses, lower quality general medical care and worse outcomes in individuals with SMI. The issues that influence general medical outcomes for individuals with SMI are complex and overlapping and likely vary by disease state. Relevant factors can be categorized to include population characteristics, contextual and system factors, provider factors, and community resources. Interventions aimed at improving general medical outcomes in this population could be directed at any one, or several, of these factors. The organization of service delivery for individuals with SMI may be the most modifiable of the many factors that impact general medical outcomes in this population. In this review, we sought to evaluate models of care designed to improve general medical outcomes among individuals with SMI.