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Integrated Care and Community Psychiatry

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Textbook of Community Psychiatry

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Abstract

Over the last decade, the integration of psychiatry into primary care has shifted from a niche endeavor to widespread utilization and acceptance. In fact, integration is now seen as central to solving for both the worsening psychiatric workforce shortage and the psychiatric access problems that have long created difficulties for the field of psychiatry. Furthermore, robust evidence showing that individuals with serious mental illness and/or substance use disorders suffer markedly worse physical health outcomes has spurned significant attention and investment in the integration of general health interventions into settings that focus on behavioral health service delivery. This chapter provides an overview of the two most common models of integrating behavioral health into primary care, as well as the multitude of efforts aimed at improving the physical health outcomes of individuals with serious mental illness, reviews the evidence base exploring their utility, and considers factors pertinent to effective implementation, including considerations specific to community psychiatry settings.

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA

    John S. Kern

  2. Case Western Reserve University School of Medicine, Population Health, University Hospitals, Shaker Heights, OH, USA

    Patrick S. Runnels

Authors
  1. John S. Kern
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  2. Patrick S. Runnels
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Correspondence to John S. Kern .

Editor information

Editors and Affiliations

  1. Clinical Professor of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Wesley E. Sowers

  2. Clinical Professor of Psychiatry, New York University Grossman School of Medicine | NYU Langone Health, New York, NY, USA

    Hunter L. McQuistion

  3. Clinical Professor of Psychiatry, Columbia University, Vagelos College of Physicians and Surgeons, New York, NY, USA

    Jules M. Ranz

  4. Professor Emerita of Psychiatry, Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USA

    Jacqueline Maus Feldman

  5. Vice Chair/Professor, Department of Psychiatry, Case Western Reserve School of Medicine, Ohio, OH, USA

    Patrick S. Runnels

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Kern, J.S., Runnels, P.S. (2022). Integrated Care and Community Psychiatry. In: Sowers, W.E., McQuistion, H.L., Ranz, J.M., Feldman, J.M., Runnels, P.S. (eds) Textbook of Community Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-031-10239-4_17

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