Integrated Health CareIntegrated primary and mental health care for individuals with severe mental illness (SMI)

Judith Lloyd Storfjell, PhD, RN, FAANProfessor & Associate Dean, Executive Director, Institute for Healthcare Innovation, UIC CON

Lucy Marion, PhD, RN, FAAN, FAANPDean & ProfessorGeorgia Health Sciences University

Kathryn Christiansen, PhD, RN, FAANAssociate Professor, UIC CON

Integrated Health Care

IHC Overview (1998 to present)

Blending concepts & processes of both mental & physical health care in the context of SMI & co-morbid disease

Psych APN faculty identified need Partner: Thresholds Psychiatric Rehabilitation Center APRNs (Family, Adult, Pediatric, Psych), Care Managers Healthcare home Evidence-based practice vs. practice-based evidence 4 Chicago locations FQHC

Challenges—a practice perspective

Financial• Start-up & expansion funding (grant dependency)• Reimbursement• FQHC implementation ‘complexities’

Systems/infrastructure development• University, Medical Center, Thresholds, FQHC• HR, hiring, competitive wages• Clinic space • Faculty time constraints

Science vs. Business• Data collection & analysis• Researcher involvement