Primary Care Providers Working in Mental Health Settings: Improving Health Status in Persons with Mental Illness. Lori Raney, MD With: Katie Friedebach , MD; Todd Wahrenburger , MD; Jeff Levine, MD; and Susan Girois , MD. Disclosures. Dr. Raney: Consultant, National Council
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Primary Care Providers Working in Mental Health Settings:Improving Health Status in Persons with Mental Illness
A PCP said to me…
“Walking into our CMHC was like walking onto mars”
Feldman, 2012, Textbook of Community Psychiatry
SAMHSA’s Resource Center to Promote Acceptance, Dignity and Social Inclusion Associated with Mental Health (ADS Center)
Example: Adult Team Meeting
Discuss patients who are struggling
Discuss new patient evaluations
Debrief traumatic events
Discuss physical health issues with in-house PCPs
Education – medication side effects, etc.
Individuals in recovery trained as service providers – many backgrounds, usually certified by a state certification body or mental health authority, may not have degree
Dual relationships may exist between peer specialists and other treatment providers (such as therapists, the PCP or psychiatric providers) as well as with the people they serve. Establishing clear boundaries is an important aspect of training peer specialists and other staff.
Vecchio, 2012, Handbook of Community Psychiatry
Follow patients in registries to assess progress towards goals and prevent “falling through the cracks”Care Managers
*evidence-informed, based on HARP model
Goal is Integrated
For more information visit www.samhsa.gov/recovery/
Menezes NM, et al: A Systematic Review of longitudinal outcome studies
Of first episode psychosis. Psychol Medicine 2006; 36:1349-1362
Harding, C. M., Brooks, G. W., Asolaga, T. S. J. S., and Breier, A. (1987). The Vermont longitudinal study of persons with severe mental illness. American Journal of Psychiatry, 144, 718-726