Abstract: Evidence exists of widening health disparities between the general population and populations with chronic mental illness, attributable primarily to cardiovascular disease. There are numerous explanations for this, including sedentary lifestyles, high rates of smoking, poor diets, poverty, underresourced environments, and medications utilized in the treatment of mental illness that contribute to cardiovascular disease risk. Adequate access to primary and preventive health care for persons with chronic mental illness is fraught with barriers and stigma. Often psychiatrists are the only physicians a patient has access to or sees with regularity. Pressures are mounting in the field of psychiatry to better integrate within the house of medicine as health care services adapt to meet the changing needs of the U.S. population. The American Psychiatric Association recently approved a position statement justifying the extension of the psychiatrist’s scope of practice to general health conditions in certain clinical situations and calling for improved access to education on general health topics, coordination with primary care, and more proactive monitoring and advocacy for the general health of psychiatric patients.
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The participant will identify factors involved in determining the most appropriate clinical context for extending a psychiatric practice to manage general health conditions.
This program is designed for all psychiatrists in clinical practice, residents in Graduate Medical Education programs, medical students interested in psychiatry, and other physicians who wish to advance their current knowledge of clinical medicine.
Estimated Time to Complete
Duration: 1 hour
Begin Date: July 1, 2016
End Date: June 30, 2018
How to Earn Credit
In order to earn CME credit, subscribers should read through the material presented in the article. After reading the article, complete the quiz and submit your evaluation and study hours (up to 1 AMA PRA Category 1 Credit™). A score of 60% or higher is required to receive credit.
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
Title: A Framework for Extending Psychiatrists’ Roles in Treating General Health Conditions
Authors: Erik R. Vanderlip, M.D., M.P.H., Lori E. Raney, M.D., Benjamin G. Druss, M.D., M.P.H.
Affiliations: From the Departments of Psychiatry and Medical Informatics, University of Oklahoma School of Community Medicine, Tulsa (E.R.V.); Health Management Associates, Denver (L.E.R.); and the Department of Psychiatry, Rollins School of Public Health, Emory University, Atlanta (B.G.D.).
Disclosures: The authors report no financial relationships with commercial interests.
Discussion of unapproved or investigational use of products*: No.
*APA policy requires disclosure by CME authors of unapproved or investigational use of products discussed in CME programs. Off-label use of medications by individual physicians is permitted and common. Decisions about off-label use can be guided by scientific literature and clinical experience.
Robert Freedman, M.D. (Editor-in-Chief, AJP); Susan K. Schultz, M.D. (Deputy Editor, AJP); Michael D. Roy (Editorial Director, AJP) ; Michael A. Pogachar (Online Content Manager, Journals).
Dr. Schultz has received research support from the Alzheimer’s Disease Cooperative Study for projects conducted in partnership with Toyama Chemical Company and in partnership with Eli Lilly and Company. Dr. Freedman, Mr. Roy, and Mr. Pogachar report no financial relationships with commercial interests.
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