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Integrating General Health Care in Private Community Psychiatry Practice

Donald C. Goff, MD, and John W. Newcomer, MD

Published: July 16, 2007

This CME activity is expired. For more CME activities, visit
Find more articles on this and other psychiatry and CNS topics:
The Journal of Clinical Psychiatry
The Primary Care Companion for CNS Disorders

Article Abstract

Patientswith chronic mental illness have multiple health care needs. These patients,particularly those with schizophrenia, have higher incidences of heart diseaseand metabolic syndrome than the general population and show increased risks ofinfectious disease, pulmonary disease, and substance abuse. In order toeffectively monitor and treat these patients, psychiatric and general healthcare should be integrated as much as possible. This presentation describes therole of the psychiatrist in helping to maintain the physical health of his orher patients, including monitoring for weight gain and other cardiac riskfactors that may be increased by psychotropic medications, and explains theimportance of communication between psychiatrists and primary care physicians.

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