Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings
Individuals living with serious mental illness (SMI) face significant barriers to accessing appropriate physical health care, poorer associated health outcomes and premature mortality compared to the general population. This scoping review examines service delivery models and clinical practices supp...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-06-01
|
| Series: | Frontiers in Health Services |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/frhs.2025.1570100/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849329194677305344 |
|---|---|
| author | Munazzah Ambreen Sihan Zhang Osnat C. Melamed Osnat C. Melamed Christopher Canning Christopher Canning Brian Lo Brian Lo Sri Mahavir Agarwal Sri Mahavir Agarwal Amer M. Burhan Amer M. Burhan M. Elisabeth Del Giudice Mary Rose van Kesteren Barna Konkolÿ Thege Barna Konkolÿ Thege Sanjeev Sockalingam Sanjeev Sockalingam Terri Rodak Tania Tajirian Tania Tajirian Caroline Walker Vicky Stergiopoulos Vicky Stergiopoulos Vicky Stergiopoulos |
| author_facet | Munazzah Ambreen Sihan Zhang Osnat C. Melamed Osnat C. Melamed Christopher Canning Christopher Canning Brian Lo Brian Lo Sri Mahavir Agarwal Sri Mahavir Agarwal Amer M. Burhan Amer M. Burhan M. Elisabeth Del Giudice Mary Rose van Kesteren Barna Konkolÿ Thege Barna Konkolÿ Thege Sanjeev Sockalingam Sanjeev Sockalingam Terri Rodak Tania Tajirian Tania Tajirian Caroline Walker Vicky Stergiopoulos Vicky Stergiopoulos Vicky Stergiopoulos |
| author_sort | Munazzah Ambreen |
| collection | DOAJ |
| description | Individuals living with serious mental illness (SMI) face significant barriers to accessing appropriate physical health care, poorer associated health outcomes and premature mortality compared to the general population. This scoping review examines service delivery models and clinical practices supporting the integration of physical health care for adults with SMI within mental health settings, and their outcomes. Searches of four academic databases yielded 65 academic articles. Most integrated service delivery models were implemented in community mental health settings in the United States and incorporated elements of Wagner's Chronic Care Model, emphasizing delivery-system redesign, patient self-management support and use of clinical information systems. In most outcome studies, integrated care models were associated with improvements in primary care access and preventative screening rates, while other physical health indicators and emergency and inpatient service use demonstrated promising but mixed results. Implementation challenges of integrated service delivery models included securing financial resources and maintaining effective use of clinical information systems, among others. Successful implementation was facilitated by effective teamwork, care coordination, and administrative and leadership support. Study findings highlight the complexity of integrating physical health care in mental health settings, and the longer timeframes needed to observe changes in some outcomes. The review further underscores the need for ongoing efforts to advance integrated care delivery in mental health settings and the importance of longitudinal data collection to fully assess and optimize the implementation and outcomes of these interventions.Systematic Review Registration:https://doi.org/10.17605/OSF.IO/3T9VK. |
| format | Article |
| id | doaj-art-f33be2505aef40f6a6e1bfdd1887fbf4 |
| institution | Kabale University |
| issn | 2813-0146 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Health Services |
| spelling | doaj-art-f33be2505aef40f6a6e1bfdd1887fbf42025-08-20T03:47:20ZengFrontiers Media S.A.Frontiers in Health Services2813-01462025-06-01510.3389/frhs.2025.15701001570100Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settingsMunazzah Ambreen0Sihan Zhang1Osnat C. Melamed2Osnat C. Melamed3Christopher Canning4Christopher Canning5Brian Lo6Brian Lo7Sri Mahavir Agarwal8Sri Mahavir Agarwal9Amer M. Burhan10Amer M. Burhan11M. Elisabeth Del Giudice12Mary Rose van Kesteren13Barna Konkolÿ Thege14Barna Konkolÿ Thege15Sanjeev Sockalingam16Sanjeev Sockalingam17Terri Rodak18Tania Tajirian19Tania Tajirian20Caroline Walker21Vicky Stergiopoulos22Vicky Stergiopoulos23Vicky Stergiopoulos24Centre for Addiction and Mental Health, Toronto, ON, CanadaCentre for Addiction and Mental Health, Toronto, ON, CanadaCentre for Addiction and Mental Health, Toronto, ON, CanadaDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, CanadaWaypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, ON, CanadaDepartment of Psychiatry, University of Toronto, Toronto, ON, CanadaCentre for Addiction and Mental Health, Toronto, ON, CanadaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, CanadaCentre for Addiction and Mental Health, Toronto, ON, CanadaDepartment of Psychiatry, University of Toronto, Toronto, ON, CanadaDepartment of Psychiatry, University of Toronto, Toronto, ON, CanadaOntario Shores Centre for Mental Health Sciences, Whitby, ON, CanadaDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, CanadaCentre for Addiction and Mental Health, Toronto, ON, CanadaWaypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, ON, CanadaDepartment of Psychiatry, University of Toronto, Toronto, ON, CanadaCentre for Addiction and Mental Health, Toronto, ON, CanadaDepartment of Psychiatry, University of Toronto, Toronto, ON, CanadaCentre for Addiction and Mental Health, Toronto, ON, CanadaCentre for Addiction and Mental Health, Toronto, ON, CanadaDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, CanadaCentre for Addiction and Mental Health, Toronto, ON, CanadaCentre for Addiction and Mental Health, Toronto, ON, CanadaDepartment of Psychiatry, University of Toronto, Toronto, ON, CanadaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, CanadaIndividuals living with serious mental illness (SMI) face significant barriers to accessing appropriate physical health care, poorer associated health outcomes and premature mortality compared to the general population. This scoping review examines service delivery models and clinical practices supporting the integration of physical health care for adults with SMI within mental health settings, and their outcomes. Searches of four academic databases yielded 65 academic articles. Most integrated service delivery models were implemented in community mental health settings in the United States and incorporated elements of Wagner's Chronic Care Model, emphasizing delivery-system redesign, patient self-management support and use of clinical information systems. In most outcome studies, integrated care models were associated with improvements in primary care access and preventative screening rates, while other physical health indicators and emergency and inpatient service use demonstrated promising but mixed results. Implementation challenges of integrated service delivery models included securing financial resources and maintaining effective use of clinical information systems, among others. Successful implementation was facilitated by effective teamwork, care coordination, and administrative and leadership support. Study findings highlight the complexity of integrating physical health care in mental health settings, and the longer timeframes needed to observe changes in some outcomes. The review further underscores the need for ongoing efforts to advance integrated care delivery in mental health settings and the importance of longitudinal data collection to fully assess and optimize the implementation and outcomes of these interventions.Systematic Review Registration:https://doi.org/10.17605/OSF.IO/3T9VK.https://www.frontiersin.org/articles/10.3389/frhs.2025.1570100/fullserious mental illnessintegrated carereverse integrationpremature mortalityservice delivery |
| spellingShingle | Munazzah Ambreen Sihan Zhang Osnat C. Melamed Osnat C. Melamed Christopher Canning Christopher Canning Brian Lo Brian Lo Sri Mahavir Agarwal Sri Mahavir Agarwal Amer M. Burhan Amer M. Burhan M. Elisabeth Del Giudice Mary Rose van Kesteren Barna Konkolÿ Thege Barna Konkolÿ Thege Sanjeev Sockalingam Sanjeev Sockalingam Terri Rodak Tania Tajirian Tania Tajirian Caroline Walker Vicky Stergiopoulos Vicky Stergiopoulos Vicky Stergiopoulos Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings Frontiers in Health Services serious mental illness integrated care reverse integration premature mortality service delivery |
| title | Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings |
| title_full | Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings |
| title_fullStr | Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings |
| title_full_unstemmed | Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings |
| title_short | Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings |
| title_sort | strengthening the delivery of integrated physical health care for adults experiencing serious mental illness a scoping review of interventions in mental health settings |
| topic | serious mental illness integrated care reverse integration premature mortality service delivery |
| url | https://www.frontiersin.org/articles/10.3389/frhs.2025.1570100/full |
| work_keys_str_mv | AT munazzahambreen strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT sihanzhang strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT osnatcmelamed strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT osnatcmelamed strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT christophercanning strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT christophercanning strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT brianlo strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT brianlo strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT srimahaviragarwal strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT srimahaviragarwal strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT amermburhan strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT amermburhan strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT melisabethdelgiudice strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT maryrosevankesteren strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT barnakonkolythege strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT barnakonkolythege strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT sanjeevsockalingam strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT sanjeevsockalingam strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT terrirodak strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT taniatajirian strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT taniatajirian strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT carolinewalker strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT vickystergiopoulos strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT vickystergiopoulos strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings AT vickystergiopoulos strengtheningthedeliveryofintegratedphysicalhealthcareforadultsexperiencingseriousmentalillnessascopingreviewofinterventionsinmentalhealthsettings |