Integrated IMR for psychiatric and general medical illness for adults aged 50 or older with serious mental illness.

Objectives: Self-management is promoted as a strategy for improving outcomes for serious mental illness as well as for chronic general medical conditions. This study evaluated the feasibility and effectiveness of an eight-month program combining training in self-management for both psychiatric and general medical illness, including embedded nurse care management.

Methods: Participants were 71 middle-aged and older adults (mean age=60.

Public-academic partnerships: a program to improve the quality of antipsychotic prescribing in a community mental health system.

State mental health authorities can use public-academic partnerships to create professional roles in which leaders can track trends, identify problems, and carry out quality improvement projects to address key issues. Leaders with positions in both academic institutions and state mental health authorities ensure access to resources, technical expertise, and key relationships to improve quality. The authors describe a public-academic partnership in New Hampshire and a quality improvement program it carried out.