Transforming Mental Health Care at the Interface With General Medicine: Report for the Presidents Commission

doi:10.1176/appi.ps.57.1.37

Psychiatr Serv 57:37-47, January 2006
doi: 10.1176/appi.ps.57.1.37
© 2006 American Psychiatric Association



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Article

Transforming Mental Health Care at the Interface With General Medicine: Report for the Presidents Commission

Jürgen Unützer, M.D., M.P.H., Michael Schoenbaum, Ph.D., Benjamin G. Druss, M.D., M.P.H. and Wayne J. Katon, M.D.

This paper is based on a report commissioned by the Subcommitteeon Mental Health Interface With General Medicine of the PresidentsNew Freedom Commission on Mental Health. Although mental andmedical conditions are highly interconnected, medical and mentalhealth care systems are separated in many ways that inhibiteffective care. Treatable mental or medical illnesses are oftennot detected or diagnosed properly, and effective services areoften not provided. Improved mental health care at the interfaceof general medicine and mental health requires educated consumersand providers; effective detection, diagnosis, and monitoringof common mental disorders; valid performance criteria for careat the interface of general medicine and mental health; caremanagement protocols that match treatment intensity to clinicaloutcomes; effective specialty mental health support for generalmedical providers; and financing mechanisms for evidence-basedmodels of care. Successful models exist for improving the collaborationbetween medical and mental health providers. Recommendationsare presented for achieving high-quality care for common mentaldisorders at the interface of general medicine and mental healthand for overcoming barriers and facilitating use of evidence-basedquality improvement models.

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