Abstract
The prevalence and significance of medical illnesses were examined in a sample of chronically mentally ill patients from an urban community mental health program. Eighty-eight percent had at least one significant medical illness, 51% had at least one previously undiagnosed illness and 53% were judged to be in need of some form of medical attention. The bulk of these illnesses were typical of primary care problems. In terms of causal significance, nearly as many medical illnesses appeared to be the result of the psychiatric disorder (18%) as vice versa (22%). Community mental health programs should make provisions for the medical needs of patients in comprehensive management programs.
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References
Barnes R.F., Mason J.C., Greer C., & Ray F.T. (1983). Medical illness in chronic psychiatric outpatients.General Hospital Psychiatry, 5, 191–195.
Burke A.W. (1972). Physical Illness in psychiatric hospital patients in Jamaica.British Journal of Psychiatry, 121, 321–322.
Burke A.W. (1978). Physical disorders among day hospital patients.British Journal of Psychiatry, 133, 22–27.
Chapter 208, California Laws 1982.
Davies S.W. (1965). Physical illness in psychiatric outpatients.British Journal of Psychiatry, 111, 27–33.
Faulkner, L.R., Bloom J.D., Bray J.D., & Maricle R.A. (1986) Medical services in community mental health programs.Hospital and Community Psychiatry, 37, 1045–1047.
Faulkner, L.R., Bloom J.D., Bray J.D., & Maricle R.A. (1987). Psychiatric manpower and services in accommunity mental health system.Hospital and Community Psychiatry, 38, 287–291.
Folstein M.F., Folstein S.E., & McHugh P.R. (1975). “Mini-Mental State”, a practical method for grading the cognitive state of patients for the clinician.Journal of Psychiatric Research, 12, 189–198.
Grove W.M., & Andreasen, N.C. (1982). Simultaneous tests of many hypotheses in exploratory research.Journal of Nervous and Mental Disease, 170, 3–8.
Hall R.C.W. (Ed.) (1980).Psychiatric presentations of medical illness: Somatopsychic disease. New York, Spectrum Publications.
Hall R.C.W., Gardner E.R., Popkin M.K., LeCann A.F., & Stickney S.K. (1981). Unrecognized physical illness prompting psychiatric admission: a prospective study.American Journal of Psychiatry, 138, 629–635.
Hall R.C.W., Gruzenski W.P., & Popkin M.K. (1979). Differential diagnosis of somatopsychic disorders.Psychosomatics, 20, 381–389.
Hall R.C.W., Popkin M.K., Devaul R.A., Faillace L.A., & Stickney S.K. (1978). Physical illness presenting as psychiatric disease.Archives of General Psychiatry, 35, 1315–320.
Hall R.C.W., Gardner E.R., Stickney S.K. LeCann A.F., Popkin M.K. (1980). Physical illness manifesting as psychiatric disease.Archives of General Psychiatry, 37, 989–995.
Hendrie H.C. (1978). Organic brain syndromes, classification, the “symptomatic” psychoses, misdiagnosis.Psychiatric Clinics of North America, 1, 3–19.
Herridge C.F. (1960). Physical disorders in psychiatric illness: a study of 209 consecutive admissions.Lancet, 2, 949–951.
Hoffman R.S. (1982) Diagnostic errors in the evaluation of behavioral disorders.Journal of the American Medical Association, 248, 964–967.
Johnson D.A.W. (1968). The evaluation of routine physical examinations in psychiatric cases.Practitioner, 200, 686–691.
Karasu T.B., Waltzman S.A., Lindenmayer J.P., Buckley P.J. (1980). The medical care of patients with psychiatric illness.Hospital and Community Psychiatry, 31, 463–472.
Koryani E.K. (1972) Physical health and illness in a psychiatric outpatient department population.Canadian Psychiatric Association Journal, 17 (Suppl 2), 109–116.
Koryani E.K. (1979). Morbidity and rate of undiagnosed physical illnesses in a psychiatric clinic population.Archives of General Psychiatry, 36, 414–419.
Marshall H.E.S. (1949). Incidence of physical disorders among psychiatric inpatients.British Medical Journal, 2, 468–470.
Martin M.J. (1983). A brief review of organic diseases masquerading as functional illness.Hospital and Community Psychiatry, 34, 328–332.
McGuire G.P. (1968). Granville-Grossman Physical illness in psychiatric patients.British Journal of Psychiatry, 114, 1365–1369.
Muecke L.N., Krueger D.W. (1981). Physical findings in a psychiatric outpatient clinic.American Journal of Psychiatry, 138, 1241–2.
Pennick S.B., Carrier R.N. (1967) Serious medical illness in an acute psychiatric hospital.Journal of the Medical Society of New Jersey, 64, 651.
Phillips R.J. (1937). Physical disorders in 164 consecutive admissions to a mental hospital: the incidence and significance.British Medical Journal, 2, 363–366.
Senate Bill 675, 62nd Oregon Legislative Assembly, 1983 Regular Session.
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Maricle, R.A., Hoffman, W.F., Bloom, J.D. et al. The prevalence and significance of medical illness among chronically mentally Ill outpatients. Community Ment Health J 23, 81–90 (1987). https://doi.org/10.1007/BF00757162
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DOI: https://doi.org/10.1007/BF00757162