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An integrative collaborative care model for people with mental illness and physical comorbidities

Ee, C, Lake, J, Firth, J, Hargraves, F, de Manincor, M, Meade, T, Marx, Wolfgang and Sarris, J 2020, An integrative collaborative care model for people with mental illness and physical comorbidities, International journal of mental health systems, vol. 14, no. 1, pp. 1-16, doi: 10.1186/s13033-020-00410-6.

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Title An integrative collaborative care model for people with mental illness and physical comorbidities
Author(s) Ee, C
Lake, J
Firth, J
Hargraves, F
de Manincor, M
Meade, T
Marx, WolfgangORCID iD for Marx, Wolfgang orcid.org/0000-0002-8556-8230
Sarris, J
Journal name International journal of mental health systems
Volume number 14
Issue number 1
Article ID 83
Start page 1
End page 16
Total pages 16
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2020
ISSN 1752-4458
Keyword(s) Integrative model
Collaborative care
Mental health
Comorbidity
Integrative medicine
Complementary medicine
Lifestyle medicine
Science & Technology
Life Sciences & Biomedicine
Psychiatry
Summary Background Many individuals with mental health problems have comorbid physical conditions, or may present with substance/alcohol misuse or abuse issues. This results in complex treatment challenges that may not be adequately addressed by a model of care that is solely delivered by an individual clinician using a sole intervention. Mainstream pharmacotherapeutic treatment of mental health problems often have limited effectiveness in completely resolving symptoms, and may cause adverse side effects. Adjunctive treatment approaches, including nutraceuticals, lifestyle and behaviour change interventions, are widely used to assist with treatment of mental health problems. However, whilst these can be generally safer with fewer side effects, they have varying levels of evidentiary support. These circumstances warrant reframing the current treatment approach towards a more evidence-based integrative model which may better address the real-world challenges of psychiatric disorders and comorbid physical conditions. In essence, this means developing an integrative model of care which embodies an evidence-informed, personalized stepwise approach using both conventional pharmacological treatments alongside novel adjunctive treatments (where applicable) via the application of a collaborative care approach. Discussion In order to inform this position, a brief review of findings on common patterns of comorbidity in mental illness is presented, followed by identification of limitations of conventional treatments, and potential applications of integrative medicine interventions. Advantages and challenges of integrative mental health care, collaborative models of care, review of research highlights of select integrative approaches, and comment on potential cost advantages are then discussed. Summary We propose that a collaborative care model incorporating evidence-based integrative medicine interventions may more adequately address mental health problems with comorbid medical conditions. Robust research is now required of such a model, potentially within an integrative clinical practice.
Language eng
DOI 10.1186/s13033-020-00410-6
Indigenous content off
Field of Research 11 Medical and Health Sciences
17 Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30145926

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.