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HEALTH ACCESS AND INTEGRATION
FOR ADULTS WITH SERIOUS AND
PERSISTENT MENTAL ILLNESS Research Study With Boston University
A mixed methods study designed to reduce system fragmentation and promote health access and integration for persons with serious mental illness
Health & Education Services, Inc.
Center for Psychiatric Rehabilitation Sargent College of Health and Rehabilitation Sciences Boston University
Overview
Numerous studies exist that document the elevated rates of physical co-morbidities that individuals with serious mental illness experience and the effect of these co-morbidities on mortality and well-being. These conditions include an increased risk and incidence of diabetes, cardio-vascular diseases, chronic obstructive pulmonary disease, obesity, and tobacco related illnesses, among others. Ultimately, these medical conditions restrict the ability of individuals to attain full recovery and participation in their communities. Promoting access to primary care and integrating physical and mental health care for this population can reduce system fragmentation, promote continuity of care, increase the chances of receiving optimal primary health care, which in turn can reduce physical co-morbidities, early mortality, and increase opportunities for full recovery and community integration.
The goals of this project are to: 1) demonstrate the effectiveness of an individualized health access and integration intervention for individuals with severe mental illness, 2) to document the intervention components and develop an intervention manual, 3) to examine the effectiveness of this intervention on perceived health, health care utilization, and quality of primary health care using standardized measures; 4) to replicate the intervention with a racially and ethnically diverse population; and 5) to perform a cost benefit analysis of the outcomes.
Funding
This study is funded by the National Institute on Disability and Rehabilitation Research and the Center for Mental Health Services in the form of a Rehabilitation Research and Training Center
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