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116] Thomas MR, Waxmonsky JA, Gabow PA, et al. Prevalence of psychiatric disorders and costs of care among adult enrollees in a Medicaid HMO. Psychiatr Serv 2005;56(11): 1394–401. [117] Cuffel BJ, Goldman W, Schlesinger H. Does managing behavioral health care services increase the cost of providing medical care? J Behav Health Serv Res 1999;26(4): 372–80. [118] Australian Health Ministers. Mental Health Statement of Rights and Responsibilities. Canberra (Australia): Australian Government Publishing Service; 1992.

Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005;62(6):603–13. [46] Saliou V, Fichelle A, McLoughlin M, et al. Psychiatric disorders among patients admitted to a French medical emergency service. Gen Hosp Psychiatry 2005;27(4):263–8. [47] Gross R, Olfson M, Gameroff MJ, et al. Depression and glycemic control in Hispanic primary care patients with diabetes. J Gen Intern Med 2005;20(5):460–6.

8% P ! 001 for all. Data from Dickey B, Normand SL, Weiss RD, et al. Medical morbidity, mental illness, and substance use disorders. Psychiatr Serv 2002;53(7):861–7. groups, primary care outpatient clinics, tertiary care medical specialty clinics, emergency rooms, or general hospitals [46–49]. The opportunity to treat mental disorders in the general medical sector because of their higher prevalence compared to that in the community, is also hampered by a lack or effective case finding [50–52]. Effective interventions depend on accurate and timely detection, yet delays in detection and treatment are common [44] and can affect outcome adversely [53], which potentiates chronicity and worsening of the mental disorder.

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Medical Clinics of N.A. - Integrated Care for Complex Mdeically Ill

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