Highlights
- •What is the primary question addressed by this study?Patients with comorbid medical and psychiatric illness suffer poorer outcomes due to a siloed healthcare system in the United States and new models of care, but do integrated behavioral models, combined medicine-psychiatry services, or complexity intervention units better serve these patients?
- •What is the main finding of this study?Integrated behavioral models of healthcare are designed to provide whole-patient care, addressing health disparities, and reducing barriers for patients with comorbid psychiatric illness. We describe integrated behavioral healthcare models with an emphasis on the combined medicine-psychiatry (med-psych) service at Duke University Hospital as well as detail the Duke University combined internal medicine-psychiatry residency training program.
- •What is the meaning of the finding?The Duke University Hospital med-psych service and residency training program may serve as an archetype for those interested in developing combined services or training programs elsewhere as a means providing integrated care for complex patients with comorbid illness.
Abstract
Patients with chronic medical disease frequently have comorbid psychiatric illness,
yet mental and physical healthcare is frequently siloed in the United States. Integrated
behavioral healthcare models, such as medicine-psychiatry services, are feasible,
improve patient outcomes, and reduce costs. The Duke University Hospital medicine-psychiatry
service provides holistic patient care and serves as a model for those interested
in developing combined services or training programs elsewhere. Combined residency
training in psychiatry is a way to provide a workforce of physician-scientist educators
adept at providing coordinated, integrated care for complex patients with comorbid
illness.
Keywords
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Article info
Publication history
Published online: November 05, 2022
Accepted:
October 31,
2022
Received in revised form:
October 29,
2022
Received:
June 18,
2022
Footnotes
Acknowledged, but non-authored: Kristen Shirey, MD.
Identification
Copyright
© 2022 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.
