About: End of Life Care in Individuals with Serious Mental Illness

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	End of Life Care in Individuals with Serious Mental Illness
Creator	Shalev, Daniel Fields Ba, Lauren Fields, Lauren Shapiro, Peter
topic	covid:1cb249406a0522a09fad68a4a4b1e20dc6d2a37d#this
Source	Elsevier; Medline; PMC
abstract	BACKGROUND: Approximately 4.5% of the population live with serious mental illness (SMI), a term referring to mental health disorders that are chronic, impair function, and require ongoing treatment. People living with SMI are at risk of premature mortality relative to people without SMI. Chronic medical illnesses contribute significantly to mortality among individuals with SMI. The standard of care for individuals with serious medical illnesses includes palliative care. However, the provision of palliative care has not been operationalized for individuals with SMI. OBJECTIVE/METHODS: This narrative review presents existing epidemiologic data on end-of-life (EOL) care and palliative care for individuals with comorbid serious medical illness and SMI. Challenges in the care of such patients are discussed. The role of the consultation-liaison psychiatrist in providing EOL care for individuals with SMI is delineated with an eye towards redressing disparities. RESULTS: Individuals with SMI are at risk of sub-optimal end-of-life care. Patient, clinician, and system-level factors all contribute to disparities including decreased access to palliative care, uneven continued engagement with mental health services, and low rates of advance care planning. CL psychiatrists can use their expertise at the intersection of medicine and psychiatry to address such disparities by (1) correcting misassumptions, (2) promoting advance care planning, (3) engaging long-term caregivers, (4) recognizing social needs, (5) ensuring ongoing access to psychiatric treatment, and (6) addressing suffering. CONCLUSIONS: There are significant disparities in the end-of-life care of individuals with SMI. CL psychiatrists have expertise to ally with medical providers and redress these disparities.
has issue date	2020-06-12(xsd:dateTime)
bibo:doi	10.1016/j.psym.2020.06.003
bibo:pmid	32660874
has license	no-cc
sha1sum (hex)	1cb249406a0522a09fad68a4a4b1e20dc6d2a37d
schema:url	https://doi.org/10.1016/j.psym.2020.06.003
resource representing a document's title	End of Life Care in Individuals with Serious Mental Illness
has PubMed Central identifier	PMC7290196
has PubMed identifier	32660874
schema:publication	Psychosomatics
resource representing a document's body	covid:1cb249406a0522a09fad68a4a4b1e20dc6d2a37d#body_text
is http://vocab.deri.ie/void#inDataset of	proxy:http/ns.inria.fr/covid19/1cb249406a0522a09fad68a4a4b1e20dc6d2a37d
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