From Silos to Bridges

Meeting the General Health Care Needs of Adults with Severe Mental Illnesses

Published in: Health Affairs, v. 25, no. 3, May/June 2006, p. 659-669

Posted on RAND.org on January 01, 2006

by Marcela Horvitz-Lennon, Amy Kilbourne, Harold Alan Pincus

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Despite their higher burden of chronic general medical disorders, adults with severe mental illnesses have poorer access to and quality of general health care compared to people without mental illnesses. Because a key contributor to this situation is the separation between the mental health care sector (patients' health care home) and the general health care sector, bridges to connect these systems are needed. The authors discuss obstacles to clinical integration and propose strategies to address them.

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