The primary goal of this Technical Brief is to describe and review the effectiveness of interventions that address disparities among adult patients with serious mental illness (SMI). The report is based on research conducted by the RTI International–University of North Carolina Evidence-based Practice Center under contract to the Agency for Healthcare Research and Quality (AHRQ).
Adults with SMI often experience gaps in access to needed health care compared with other populations. Such disparities may be even more pronounced between certain groups of patients with SMI, differing by race, ethnicity, gender, economic disadvantage (including housing stability) and socioeconomic status, and geographic location (chiefly, rural versus urban); disparities arise as well for individuals identifying as LGBT and those who have difficulty communicating in English.
The study reviewed the published and gray literature and interviewed Key Informants to address several Guiding Questions. Gaps persist both in terms of the diversity of disparity groups included in studies (particularly individuals who identify as LGBT and the elderly) and approaches considered.
For more information and to download the report, visit http://1.usa.gov/1XlFPMV