Mental Health Provider Perspectives Regarding Integrated Medical Care for Patients with Serious Mental Illness

  • Amy M. KilbourneEmail author
  • Devra E. Greenwald
  • Mark S. Bauer
  • Martin P. Charns
  • Elizabeth M. Yano
Original Paper


Integrated care for medical conditions is essential for persons with serious mental illness (SMI). This qualitative study describes mental health provider perspectives regarding barriers and facilitators of integrated care for patients with SMI. We interviewed providers from a national sample of Veterans Health Administration facilities that scored in the top or bottom percentile in medical care quality. Providers from high-performing sites reported substantial in-person contacts with general medical providers, while providers from low-performing sites reported stigma and limited communication with medical providers as major concerns. Interventions to improve mental health and medical provider communication may facilitate integrated care for persons with SMI.


Integrated care Serious mental illness Quality of care 



This work was supported by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service and the National Institute of Mental Health. The views expressed in this article are those of the authors and do not necessarily represent the views of the VA.




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Copyright information

© Springer Science+Business Media, LLC (outside the USA)  2011

Authors and Affiliations

  • Amy M. Kilbourne
    • 1
    • 2
    Email author
  • Devra E. Greenwald
    • 3
  • Mark S. Bauer
    • 4
    • 5
  • Martin P. Charns
    • 4
    • 6
  • Elizabeth M. Yano
    • 7
    • 8
  1. 1.VA Ann Arbor Center for Clinical Management ResearchAnn ArborUSA
  2. 2.Department of PsychiatryUniversity of Michigan Medical SchoolAnn ArborUSA
  3. 3.VA Pittsburgh Center for Health Equity Research and PromotionPittsburghUSA
  4. 4.VA Boston Center for Organization, Management, and Leadership Research (COLMR)BostonUSA
  5. 5.Harvard Medical SchoolCambridgeUSA
  6. 6.Boston University School of Public HealthBostonUSA
  7. 7.VA Greater Los Angeles HSR&D Center of Excellence for the Study of Healthcare Provider BehaviorVA Greater Los Angeles Healthcare SystemLos AngelesUSA
  8. 8.Department of Health ServicesUCLA School of Public HealthLos AngelesUSA

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