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Psychiatr Serv. 2017 Oct 1;68(10):990-993. doi: 10.1176/ Epub 2017 Sep 1.

Understanding the Cost of a New Integrated Care Model to Serve CMHC Patients Who Have Serious Mental Illness.

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Dr. Mangurian and Dr. Niu are with the Department of Psychiatry, Weill Institute for Neurosciences, and Dr. Schillinger is with the Division of General Internal Medicine, all at the University of California, San Francisco. Dr. Newcomer is with the Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton. Dr. Gilmer is with the Department of Family Medicine and Public Health, University of California, San Diego.


People with serious mental illness, such as schizophrenia and bipolar disorder, experience premature mortality, often from cardiovascular disease (CVD). Unfortunately, people with serious mental illness typically are not screened or treated for CVD risk factors despite national guideline recommendations. Access to primary preventive care in community mental health settings has the potential to reduce early mortality rates in this population. The authors review best practices for developing an integrated care model for people with serious mental illness by considering economic feasibility and sustainability from the perspective of a community mental health clinic (CMHC). A process-mapping approach was used to gather information on clinic costs (staff roles, responsibilities, time, and salary) of serving 544 patients at one CMHC. The estimated annual cost of the model was measurable and modest, at $74 per person, suggesting that this model may be financially feasible.


Administration & management; Community mental health centers

[Indexed for MEDLINE]

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