Primary care update for mental health nurses: evidence-based guidelines for nursing assessment, intervention, and follow up.
J Psychosoc Nurs Ment Health Serv 2004 Oct; 42(10):22-35
Although great strides have been made in delivering evidence-based primary care in the general population, patients living with serious and persistent mental illnesses (SPMI) have been less likely to benefit from such care. Medical comorbidities, such as hypertension and diabetes, often go undiagnosed and untreated in this population (Felker, Yazel, & Short, 1996), and these unmet health care needs not only jeopardize successful mental health treatment but also result in more and earlier deaths (Brown, 1997). Reasons for this underuse of primary care include the cognitive, behavioral, and social factors that characterize SPMI, which may make individuals unwilling or unable to seek treatment or receive routine preventive services (Felker et al., 1996). Even when they do desire these services, many individuals living with SPMI lack access to primary care (Druss & Rosenheck, 1998).
Humans; Men; Women; Mental-illness; Mental-disorders; Medical-care; Medical-treatment; Hypertension; Morbidity-rates; Mortality-rates; Behavioral-disorders; Behavior; Sociological-factors; Psychological-disorders
Judith McDevitt, PhD, APRN, BC, Clinical Assistant Professor, Room 912, Department of Public Health, Mental Health, and Administrative Nursing, College of Nursing (MC 802), University of Illinois at Chicago, 845 South Damen Avenue, Chicago, IL 60612
Journal of Psychosocial Nursing and Mental Health Services
University of Illinois-Chicago