240800 Innovative Diabetes Management for Individuals with Serious Mental Illness

Monday, October 31, 2011

Barbara Shaw, APN, FNP-BC , Integrated Health Care, University of IL at Chicago College of Nursing, Chicago, IL
Susan Braun, APN, FNP-BC , Integrated Health Care, University of IL at Chicago College of Nursing, Chicago, IL
Emily Brigell, MS, RN , Integrated Health Care, University of Illinois-Chicago College of Nursing, Chicago, IL
Marjorie Charles-Damte, MS, NP-BC , College of Nursing, University of Illinois, Chicago, IL
Kathy Christiansen, PhD, RN , College of Nursing, University of Illinois at Chicago, Chicago, IL
Debra Hulford, FNP-BC , Integrated Health Care, University of IL at Chicago College of Nursing, Chicago, IL
Valerie Matthiesen, ANP-BC , Dept of Biobehavioral Health, University of IL at Chicago College of Nursing, Chicago, IL
Judith McDevitt, PhD , Department of Health Systems Science, University of Illinois at Chicago, Chicago, IL
Judith Lloyd Storfjell, PhD, RN , Institute for Health Care Innovation, University of Illinois at Chicago College of Nursing, Chicago, IL
Kelly Vaez, APN, FNP-BC , Integrated Health Care, University of IL at Chicago College of Nursing, Chicago, IL
Donna Warder, APN, FNP-BC , Integrated Health Care, University of IL at Chicago College of Nursing, Chicago, IL
Background. Diabetes has reached epidemic proportions and will affect 25.8 million Americans (American Diabetes Association [ADA] Fact Sheet, 2011). For people with SMI the rates of diabetes are higher that of the general population (10-14% vs. 7.8%). Due in large part to preventable conditions such as diabetes and heart disease, people with Serious Mental Illness (SMI) die 25 years earlier than the general population. As such, it is imperative that effective, evidence-based primary care strategies for diabetes management in individuals with SMI be widely developed and implemented to reduce increased morbidity and early mortality. Program description. Integrated Health Care (IHC) is an academic nurse-managed center in which Advanced Practice Nurses provide integrated primary and mental health care services to individuals with SMI in collaboration with a large, community-based psychiatric rehabilitation agency. Since 1998, APN providers have used innovative, evidence-based strategies to manage the care of their clients. In 2003, IHC APNs and collaborating faculty at the University of Illinois Medical Center, developed “Diabetes Management in the context of Serious Mental Illness” a comprehensive set of evidence-based practice guidelines . In 2007, with HRSA funding, IHC added community-based strategies such as group visits, telemonitoring and APN house calls to complement care delivery in our clinics. Results. Improved patient self-management is reflected in improved glycohemoglobin blood test results. In 2010, 88% of patient glycohemoglobin results were below the ADA standard of less than 7%. IHC was recognized for this achievement with a Diabetes Excellence award from Illinois Medicaid's disease management division.

Learning Areas:
Chronic disease management and prevention

Learning Objectives:
1. Describe an innovative, award-winning model of primary care and mental health services for individuals with diabetes 2. Describe outcomes achieved and implications for diabetes management

Keywords: Nurse Managed Centers, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because as an APN, I provide primary health care to patients with severe mental illness. I have a special interest in diabetic management and smoking cessation, and in developing effective approaches to health care and empowerment in this, and other, at-risk populations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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