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Integrating Care in the Public Sector

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Integrated Care in Psychiatry

Abstract

Patients with serious mental illnesses (SMI) have greater odds of having chronic and multiple physical comorbidities, leading to increased morbidity and early morbidity. The majority of the population receives their health care services in public sector settings. Historically, there have been ongoing concerns about poor coordination and integration of primary care and mental health services in the public sector, leading to poor quality of care and outcomes for patients. This chapter provides an overview of the historical roots of the current public health and mental health systems, and addresses clinical and professional issues arising for psychiatrists in light of anticipated changes to the public mental health system.

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Authors and Affiliations

  1. Center for Behavioral Health Policy Studies, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA, 30322, USA

    Silke A. von Esenwein Ph.D. & Benjamin Druss M.D., M.P.H.

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  1. Silke A. von Esenwein Ph.D.
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  2. Benjamin Druss M.D., M.P.H.
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Correspondence to Silke A. von Esenwein Ph.D. .

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Editors and Affiliations

  1. School of Medicine, Tufts University, Boston, Massachusetts, USA

    Paul Summergrad

  2. Cartesian Solutions, Inc., University of Minnesota, Burnsville, Minnesota, USA

    Roger G. Kathol

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von Esenwein, S.A., Druss, B. (2014). Integrating Care in the Public Sector. In: Summergrad, P., Kathol, R. (eds) Integrated Care in Psychiatry. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0688-8_8

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  • DOI: https://doi.org/10.1007/978-1-4939-0688-8_8

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