We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Integrating bipolar disorder management in primary care.
- Authors
Kilbourne, Amy M; Goodrich, David E; O'Donnell, Allison N; Miller, Christopher J
- Abstract
There is growing realization that persons with bipolar disorder may exclusively be seen in primary (general medical) care settings, notably because of limited access to mental health care and stigma in seeking mental health treatment. At least two clinical practice guidelines for bipolar disorder recommend collaborative chronic care models (CCMs) to help integrate mental health care to better manage this illness. CCMs, which include provider guideline support, self-management support, care management, and measurement-based care, are well-established in primary care settings, and may help primary care practitioners manage bipolar disorder. However, further research is required to adapt CCMs to support complexities in diagnosing persons with bipolar disorder, and integrate decision-making processes regarding medication safety and tolerability in primary care. Additional implementation studies are also needed to adapt CCMs for persons with bipolar disorder in primary care, especially those seen in smaller practices with limited infrastructure and access to mental health care.
- Publication
Current psychiatry reports, 2012, Vol 14, Issue 6, p687
- ISSN
1535-1645
- Publication type
Journal Article
- DOI
10.1007/s11920-012-0325-4