Integrated Care for Older Adults with Serious Mental Illness and Medical Comorbidity: Evidence-Based Models and Future Research Directions.

Integrated Care for Older Adults with Serious Mental Illness and Medical Comorbidity: Evidence-Based Models and Future Research Directions.
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DOI:
10.1016/j.psc.2017.10.012
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发表时间:
2018-03
期刊:
The Psychiatric clinics of North America
影响因子:
--
通讯作者:
Naslund JA
Naslund JA
中科院分区:
其他
文献类型:
--
作者:
Bartels SJ;DiMilia PR;Fortuna KL;Naslund JA

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患有严重精神疾病的老年人过早死亡、合并症、过早入院和高昂费用的风险过高,因此需要开发和传播有效且可持续的综合护理模式,同时满足精神和身体健康需求。本概述重点介绍了当前基于证据的综合护理模式,该模式主要采用以下方法:i)心理社会技能培训,ii)综合疾病自我管理,以及 iii)协作护理和行为健康之家。最后,讨论了基于这些方法的创新模型,融合了远程医疗、移动医疗技术和同行支持的新颖用途,以及发展中经济体的战略。
The excess risk of early mortality, medical comorbidity, early institutionalization, and high costs among older adults with serious mental illness necessitates development and dissemination of effective and sustainable integrated care models that simultaneously address mental and physical health needs. This overview highlights current, evidence-based integrated care models, which predominantly adopt the following approaches: i) psychosocial skills training, ii) integrated illness self-management, and iii) collaborative care and behavioral health homes. Finally, innovative models that build on these approaches by incorporating novel uses of telehealth, mobile health technology and peer support, and strategies from developing economies are discussed.
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