Hey Forrest! Haven’t seen you in ages!! Interesting talk but I think the medical and mental health care routes and the disjunct between the two you that are referring to are predominantly in the US. In the UK you would see your General Practitioner Doctor in the first instance who would then refer you to a mental health practitioner/ psychiatrist. Your medical record will include all physical and mental diagnoses, treatments etc. They would never follow separate routes. Is this what you would like the medical & mental treatment pathways to adopt? Good to see you are sharing your talents and driving for better mental care. Cheers, Carlos Morlin (Edinburgh Ward, circa 1990-2000)
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Carlos! Great to hear from you! In response to your statement, there is a disjunct between medical and mental health care routes within in the US. One of the ways to ameliorate that disjunct is to have a shared medical record. That way those people who need to be involved can be involved with more seamless interactions. So, it is great to hear that in the UK they have a shared medical record. The other disjunct that I see is the availability and timeliness of activating services. If we are talking about a continuum of integrated services, a referral to a behavioral health practitioner or psychiatrist is on that continuum but would be suspect to wait times. And, there needs to be those type of integrated services within various levels of health care. Moving up that continuum to having integration at all levels is what I am espousing. One way of integrating at a higher level would be to have behavioral health services imbedded within the clinic and throughout the system so that client's/patient's can be seen immediately, at the point of contact with their medical provider. That is another way to eliminate wait time and improve delivery of services in addition to have a shared medical record. Thanks for the comment!