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Integrated Health Care
Integrated
primaryHealth
and mental
health care for
Integrated
Care
individuals with severe mental illness (SMI)
Judith Lloyd Storfjell, PhD, RN, FAAN
Professor & Associate Dean,
Executive Director, Institute for
Healthcare Innovation, UIC CON
Lucy Marion, PhD, RN, FAAN, FAANP
Dean & Professor
Georgia Health Sciences University
Kathryn Christiansen, PhD, RN, FAAN
Associate Professor, UIC CON
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
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