Carl Taube Award Lecture: Stephen Leff, PhD
Monday, November 4, 2013: 10:30 a.m. - 12:00 p.m.
Integrated Care for Persons with Serious Mental Illness: Deinstitutionalization Redux?
The original planning for the deinstitutionalization of persons with
serious mental illness (that is persons diagnosed with schizophrenia,
bipolar disorder, major depression and other disorders that can result
in significant functional impairments) underestimated the need for
community-based services and service coordination. This was because the
initial planning for deinstitutionalization was motivated by unproven
theory and the vision of advocates, but not evidence. Are we about to
make the same mistakes when it comes to planning for integrated care for
persons with serious mental illness? Research on types and outcomes of
integrated care for persons with serious mental illness is in short
supply. Yet successes using integrated care for persons with depression
and aspects of the Affordable Care Act have resulted in a movement to
use integrated care for persons with serious mental illness. This
presentation will review the available evidence on integrated care for
persons with serious mental illness. Further, given the shortage of
research, it will illustrate how a simulation model developed by the
presenter, in combination with available evidence, can be used to
provide a theoretical basis for and inform the planning of integrated
systems of care for persons with serious mental illness. Finally, it
will discuss the theoretical questions such as the relationship of
simulation outcomes to recovery and data needs stemming from this
simulation model. The presentation will include a demonstration of the
simulation model and a description of where resources for planning
services for persons with serious mental illness can be found.
Session Objectives: 1. Describe the available research on integrated care for persons
with serious mental illness.
2. Describe a simulation model developed to plan integrated care
for persons with serious mental illness.
3. Discuss the theoretical questions and data needs posed by the
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by: Mental Health
Endorsed by: Community Health Planning and Policy Development
Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)
Masters Certified Health Education Specialist (MCHES)