Exploring barriers to primary care for patients with severe mental illness: frontline patient and provider accounts

Issues in Mental Health Nursing
Erin A KaufmanRichard K Ries

Abstract

The goal of this study was to obtain in-depth descriptions of barriers to primary care for adults with serious mental illness (SMI) and to provide solutions to these barriers. Qualitative interviews were administered to mental health and medical providers, as well as patients. Several major themes were reported including: poor access to care; patient limitations (e.g., psychopathology, cognitive difficulties); societal, health care system, and provider bias; integrated/fragmented care, communication difficulties; and quality of care issues. Results point to a need for nursing professionals to continue to improve access to medical care for this population, as well as to continue to integrate mental health and primary care.

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Citations

Jul 25, 2013·Current Psychiatry Reports·David E GoodrichMark S Bauer
Feb 16, 2016·International Journal of Mental Health Nursing·Brenda HappellRobert Stanton
Jan 11, 2016·International Journal of Mental Health Nursing·Brenda HappellRobert Stanton
Feb 6, 2015·Journal of Psychosocial Nursing and Mental Health Services·Emily R Welsh, Geoffry Phillips McEnany
Oct 22, 2016·Health Services Research·Marisa Elena DominoJoseph P Morrissey
Sep 27, 2018·Journal of Interprofessional Care·Brenda HappellRobert Stanton
Mar 15, 2019·Journal of the American Psychiatric Nurses Association·Leslie W MilesLacey Eden
Aug 5, 2017·Social Work in Health Care·Denise R Black, Mary L Held
May 10, 2017·The Journal of Behavioral Health Services & Research·Kathleen R DelaneyLaurah Brennaman
Feb 6, 2021·Journal of Primary Care & Community Health·Sonya GabrielianStefan G Kertesz
Oct 24, 2017·American Journal of Preventive Medicine·Bobbi Jo H YarboroughCarla A Green
May 26, 2021·Harvard Review of Psychiatry·J Steven Lamberti, Robert L Weisman

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