Open AccessLessons Learned From a New Reverse-Integration Model to Improve Primary Care Screening in Community Mental Health Settings
Author(s) -
Christina Mangurian,
Marilyn Thomas,
Fumi Mitsuishi,
Lee Goldman,
Grace Niu,
Margaret A. Handley,
Nicholas S. Riano,
Alison Hwong,
Susan M. Essock,
James Dilley,
John W. Newcomer,
Dean Schillinger
Publication year - 2022
Publication title -
psychiatric services
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.517
H-Index - 145
eISSN - 1557-9700
pISSN - 1075-2730
DOI - 10.1176/appi.ps.202100177
Subject(s) - mental health , intervention (counseling) , medicine , primary care , integrated care , nursing , population , mental illness , community health , health care , family medicine , psychiatry , public health , environmental health , economics , economic growth
The authors sought to describe a reverse-integration intervention aimed at improving preventive health screening in a community mental health clinic. The intervention, CRANIUM (cardiometabolic risk assessment and treatment through a novel integration model for underserved populations with mental illness), integrated primary care services into a large urban community mental health setting. It was implemented in 2015 and included a patient-centered team, population-based care, emphasis on screening, and evidence-based treatment. CRANIUM's strengths included provider acceptability, a patient-centered approach, sustained patient engagement, and economic feasibility. Challenges included underutilized staff, registry maintenance, and unanticipated screening barriers. The CRANIUM reverse-integration model can be feasibly implemented and was acceptable to providers.