Integrated Care Refresh, Part 2: Reverse Integration of Care and Integrated Care in the Inpatient Setting.

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Back to table of contents Previous article Editor’s ChoiceFull AccessIntegrated Care Refresh, Part 2: Reverse Integration of Care and Integrated Care in the Inpatient SettingCarrie Cunningham, M.D., M.P.H., Andrew Carlo, M.D., M.P.H., Lisa B. Dixon, M.D., M.P.H.Carrie CunninghamSearch for more papers by this author, M.D., M.P.H., Andrew CarloSearch for more papers by this author, M.D., M.P.H., Lisa B. DixonSearch for more papers by this author, M.D., M.P.H.Published Online:1 Mar 2022https://doi.org/10.1176/appi.ps.22730301AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail This Editor’s Choice collection was published online in February 2022. It is the second part of a refreshment of the original January 2019 collection on integrated care. To review all collections, please visit the Editor’s Choice section of ps.psychiatryonline.org.This second installment of a double collection on Integrated Care focuses on models that strive to improve care and health outcomes for people with serious mental illness. Integration of behavioral health in primary care settings, highlighted in Part 1, most often focuses on the care of people with mild to moderate behavioral health problems. People with serious mental illness face glaring health disparities and decreased life expectancy, largely due to comorbid general medical conditions, and often primarily receive services in specialty mental health settings. Efforts to integrate behavioral health and general medical care for people with serious mental illness seek to address treatment barriers resulting from historically siloed health care systems and bring general medical care to behavioral health settings. These integrated strategies aim to improve access to care, strengthen communication and coordination between providers, and tailor services and build expertise in the care of people with general medical and psychiatric comorbidities.In this collection, the first set of articles explores the reverse integration of medical care into behavioral health settings. Authors highlight behavioral health homes and other specialty mental health system–based integrated care models, including the incorporation of primary care and cardiometabolic screening into assertive community treatment. The second group of articles features integration of care in the inpatient setting. Authors describe integrated inpatient medical and psychiatric units, advocate for an evidence-based practice approach to evaluating medical-psychiatric units, and describe person-centered approaches to discharge planning for people with serious mental illness. Together, integrated behavioral health in primary care settings, reverse integration in behavioral health settings, and inpatient integrated care models for people with serious medical as well as psychiatric illnesses represent a continued movement toward more comprehensive, person-centered care with the goal to improve health outcomes and care delivery.REVERSE INTEGRATION IN BEHAVIORAL HEALTH SETTINGSIntegrating Primary Care Into Assertive Community TreatmentTse J, Cheng JE, Tabasky E, et al.Psychiatr Serv (Epub Sept 9, 2021)https://doi.org/10.1176/appi.ps.202100069Improving Physical Health Among People With Serious Mental Illness: The Role of the Specialty Mental Health SectorMcGinty EE, Presskreischer R, Breslau J, et al.Psychiatr Serv 2021; 72:1301–1310https://doi.org/10.1176/appi.ps.202000768A Continuum-Based Framework as a Practice Assessment Tool for Integration of General Health in Behavioral Health CareSmali E, Talley RM, Goldman ML, et al.Psychiatr Serv (Epub Sept 24, 2021)https://doi.org/10.1176/appi.ps.202000708Assessing the Long-Term Effectiveness of a Behavioral Health Home for Adults With Bipolar and Psychotic DisordersJohnson K, Tepper M, Leff HS, et al.Psychiatr Serv 2022; 73:172–179https://doi.org/10.1176/appi.ps.202000589Randomized Trial of a Mobile Personal Health Record for Behavioral Health HomesDruss BG, Li J, Tapscott S, et al.Psychiatr Serv 2020; 71:803–809https://doi.org/10.1176/appi.ps.201900381Association Between the Maryland Medicaid Behavioral Health Home Program and Cancer Screening in People With Serious Mental IllnessMurphy KA, Daumit GL, Bandara SN, et al.Psychiatr Serv 2020; 71:608–611https://doi.org/10.1176/appi.ps.201900299Systematic Review of the Impact of Behavioral Health Homes on Cardiometabolic Risk Factors for Adults With Serious Mental IllnessFortuna KL, DiMilia PR, Lohman MC, et al.Psychiatr Serv 2020; 71:57–74https://doi.org/10.1176/appi.ps.201800563Availability of Integrated Primary Care Services in Community Mental Health Care SettingsBrown JDPsychiatr Serv 2019; 70:499–502https://doi.org/10.1176/appi.ps.201800448Perspectives of Individuals With Serious Mental Illness on a Reverse–Colocated Care Model: A Qualitative StudyTalley RM, Rolin SA, Trejo BN, et al.Psychiatr Serv 2019; 70:793–800https://doi.org/10.1176/appi.ps.201800480Integration of Inpatient CareOrganization and Outcomes of Integrated Inpatient Medical and Psychiatric Care Units: A Systematic Reviewvan Schijndel MA, van Wijngaarden JDH, van de Klundert JJPsychiatr Serv 2021; 72:64–76https://doi.org/10.1176/appi.ps.202000416Moving Beyond the Status Quo of Integrated Inpatient Medical and Psychiatric Care Units: The Path to Real-World EvaluationPinto C, Fabbricotti IN, van Wijngaarden J, et al.Psychiatr Serv (Epub Oct 27, 2021)https://doi.org/10.1176/appi.ps.202000811Taking the Long View in an Inpatient Medical Unit: A Person-Centered, Integrated Team Approach for Patients With Severe Mental IllnessesWittink MN, Cross W, Goodman J, et al.Psychiatr Serv 2020; 71:885–892https://doi.org/10.1176/appi.ps.201900385Unmet Opportunity: Intensive Care Transition Intervention for Individuals With Serious Medical-Psychiatric IllnessesSmith TE, Marino LA, Olfson M, et al.Psychiatr Serv 2021; 72:856–858https://doi.org/10.1176/appi.ps.202000286 FiguresReferencesCited byDetailsCited byNone Volume 73Issue 3 March 01, 2022Pages 362-363 Metrics PDF download History Published online 1 March 2022 Published in print 1 March 2022