abstract: 'Individuals with serious mental illness are at increased risk of

  developing secondary physical illnesses because of lifestyle and

  psychiatric treatment-related factors. Many individuals with mental

  illness participate in primary care clinics, such as Placer County

  Community Clinic (PCCC), which provides primary care and medication-only

  psychiatric services to low-income county residents. This qualitative

  study describes an augmented care program provided to this population at

  PCCC and explores participant experiences with that program. The

  augmented program consisted of a full-time social worker and part-time

  registered nurse working as a team to coordinate care between providers,

  and provide psychosocial education and illness management support.

  Previous studies have demonstrated that similar programs result in

  improved clinical outcomes for people with mental illness but have

  largely not included perspectives of participants in these pilot

  programs. This article includes participant reports about medical

  service needs, barriers, and beneficial elements of the augmented

  program. Medical service needs included the need to provide input in

  treatment and to be personally valued. Barriers ranged from doubts about

  provider qualifications to concerns about medication. Elements of the

  augmented care program that participants found beneficial were those

  involving care coordination, social support, and weight management

  support.'
affiliation: 'Nover, CH (Corresponding Author), Eastern Washington Univ, 208 Senior
  Hall, Cheney, WA 99004 USA.

  Nover, Cynthia Helen, Eastern Washington Univ, Sch Social Work, Cheney, WA 99004
  USA.'
author: Nover, Cynthia Helen
author-email: cnover@ewu.edu
author_list:
- family: Nover
  given: Cynthia Helen
da: '2023-09-28'
doi: 10.1080/00981389.2013.797537
eissn: 1541-034X
files: []
issn: 0098-1389
journal: SOCIAL WORK IN HEALTH CARE
keywords: 'mental health; primary care; care coordination; integrated care;

  qualitative; serious mental health'
keywords-plus: 'METABOLIC SYNDROME; LIFE-STYLE; CARDIOVASCULAR RISK; SCHIZOPHRENIA;

  INTERVENTION; PEOPLE; IMPACT'
language: English
month: AUG 1
number: '7'
number-of-cited-references: '13'
pages: 656-668
papis_id: 4e844352355f71c688e044ebd9b76603
ref: Nover2013mentalhealth
times-cited: '13'
title: 'Mental Health in Primary Care: Perceptions of Augmented Care for Individuals
  With Serious Mental Illness'
type: Article
unique-id: WOS:000323144000003
usage-count-last-180-days: '0'
usage-count-since-2013: '14'
volume: '52'
web-of-science-categories: Social Work
year: '2013'