Evidence map›Paper›PMID 19264942›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Health care for patients with serious mental illness: family medicine's role.

Nancy E Morden, Lisa A Mistler, William B Weeks, Stephen J Bartels

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00105885 (Telephone Care as a Substitute for Routine Psychiatric Medication Management), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00105885 nacompletednot on this map

Telephone Care as a Substitute for Routine Psychiatric Medication Management

TypeinterventionalSponsorUS Department of Veterans AffairsRan2003 to 2008Enrolled324ConditionsMajor Depression, Posttraumatic Stress Disorders, Anxiety DisordersArmstelephone care
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. The Australian and New Zealand journal of psychiatry · 2026
    Guideline
  2. Pooled it
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  20. Exploring primary care activities in ACT teams.Community mental health journal · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Nancy E MordenDepartment of Community and Family Medicine, Dartmouth Medical School, The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA. Nancy.e.morden@dartmouth.edu
Lisa A Mistler
William B Weeks
Stephen J Bartels
Dartmouth Institute for Health Policy and Clinical Practice · USNational Patient Safety Foundation · USThe Centers · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
UNDERSTANDING AND IMPROVING EPISODE-BASED HOSPITAL CAREP01AG019783 · NIA · DARTMOUTH COLLEGE · PI Alistair James O'MALLEY · 2001 to 2026
$52.9M
Interventions and Services for Older Adults with SMIK24MH066282 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2002 to 2011
$1.6M
Impact of Medicare Part D on Racial Disparities in Diabetes Treatment and OutcomeR01HS017695 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DONOHUE, JULIE MARIE · 2009 to 2011
$628k
AHRQ HHS R01 HS017695HSRD VA CDA 09-207NCRR NIH HHS UL1 RR024153NIA NIH HHS P01 AG019783NIMH NIH HHS K24 MH066282NIMH NIH HHS K24MH066282
6 · The paper itself

Abstract

Numerous studies document disproportionate physical morbidity and premature death among people with serious mental illness. Although suicide remains an important cause of mortality for this population, cardiovascular disease is the leading cause of death. Cardiovascular death among those with serious mental illness is 2 to 3 times that of the general population. This vulnerability is commonly attributed to underlying mental illness and behavior. Some excess disease and deaths result from poor access to and use of quality health care. Negative cardiometabolic effects of newer psychotropic medications augment these trends by increasing rates of obesity, diabetes, and hyperlipidemia among those treated. Researchers have developed innovative care models aimed at minimizing the disparate health outcomes of patients with serious mental illness. Most strive to enhance access to primary care, but publications on this topic appear almost exclusively in the psychiatric literature. A focus on primary care for the prevention of excess cardiometabolic morbidity and mortality in this population is appropriate, but depends on primary care physicians' understanding of the problem, involvement in the solutions, and collaboration with psychiatrists. We review health outcomes of the seriously mentally ill and models designed to improve these outcomes. We propose specific strategies for Family Medicine clinicians and researchers to address this problem.

Indexed as

Family PracticePhysician's RoleSeverity of Illness IndexCardiovascular DiseasesHealth Services AccessibilityHumansMental DisordersOutcome Assessment, Health Care

Identifiers

PMID19264942
PMCPMC3766978
OpenAlexW2152438393

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.