Imparting services to people with Mental Illness and individuals with dual diagnosis of Intellectual or Developmental Disability and Mental Illness stand out today in the United States due to their significant problems and much needed solutions. The complex needs of persons with Intellectual Disability that also have co-occurring Mental Illness, and the severe and persistent Psychiatric Disorders and related behavioral problems of millions of people in the United States have provided unprecedented opportunities and clinical challenges to professionals, service providers and systems.
Mental illness has an impact on people of all age groups. Evidence shows that mental health system has failed to reach a significant number of people with mental illness. Those it does, often drop out or get insufficient, uncoordinated care. It has, therefore, been proposed to implement an integrated behavioral health care model approach to persons with severe mental illness and individuals with dual diagnosis of Intellectual Disability and Mental illness to improve their health outcome. There is ample evidence that poor physical health will lead to poor behavioral health, and vice versa. Therefore, it is necessary to have some form of integrated care approach to dealing with the “whole” person with severe mental illness.
70% of primary care visits stems from psychosocial issues, according to Robinson and Reiter (2007). Available data suggests that an underlying mental health or substance abuse are often triggering these visits. Most primary care doctors are not equipped to address the behavioral health issues that are presented by the patients. If the patient’s visit to his/her primary care doctor results in the screening and treatment of mental health and substance abuse problems in a primary care setting, and in a similar manner, if the behavioral health setting improves the medical care of individuals with serious mental health problems, there will be combination of integration and collaboration
Integrated behavioral health care services with primary care services offer a promising, viable and efficient way of making sure that people have access to the needed and often missed mental health services. Integrated behavioral health care approach has advantages such as reducing social stigma and discrimination far better than mental health stigma, increasing opportunities to improve overall health outcome, reducing cost of caring of individuals with multiple conditions, and easing the entry of patients into needed behavioral health care.
The integrative model integrates behavioral health care as part of regular primary care. It is a key path to overall health care reform in the next decade. Our redundancies in health care administrative and service delivery structures will certainly call for an integrated care approach.
ACIDD Maryland is taking a long journey with our stakeholders- professionals, care providers, families- in a collaborative model to promote integrative care services to individuals who have the dual diagnoses of developmental disabilities and co-occurring mental illness. Our mission is to advance mental wellness of body, mind and spirit of persons with developmental disabilities, and promote their excellence in behavioral health care through an integrated approach. Based on our several years of experience, the uniqueness and individual nature of recovery must be honored. Our program model is unique. We address the overall needs of an individual as a whole person. Because no single provider is sufficient for multiple services, in the State of Maryland, a well conceived and well-executed social enterprise such as ACIDD Maryland secures a leading position in providing excellent holistic psychiatric services through a bio-psycho-social approach in these areas.
We have a social mission. Our quality programs and effective services are expected to help hundreds of families in their difficult journeys. At ACIDD Maryland, you have our time and attention. Read more »