Evidence map›Paper›PMID 39953407›Full record

ArticleBMC psychiatry2025

Strengthening the delivery of integrated care for individuals experiencing serious mental illness within mental health settings: a qualitative description of health provider perspectives.

Munazzah Ambreen, Christopher Canning, Brian Lo, Sri Mahavir Agarwal, Amer M Burhan, David Castle, M Elisabeth Del Giudice, Barna Konkolÿ-Thege, Louis Liu, Osnat C Melamed and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Physiotherapy in Mental Health: A Mixed Methods Systematic Review of Practitioner and Student Knowledge, Attitudes, and Perceptions.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Munazzah AmbreenCentre for Addiction and Mental Health, Toronto, ON, Canada.
Christopher CanningWaypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, ON, Canada.
Brian LoCentre for Addiction and Mental Health, Toronto, ON, Canada.
Sri Mahavir AgarwalCentre for Addiction and Mental Health, Toronto, ON, Canada.
Amer M BurhanDepartment of Psychiatry, University of Toronto, Toronto, ON, Canada.
David CastleSchool of Medicine, University of Tasmania, Hobart, Australia.
M Elisabeth Del GiudiceDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Barna Konkolÿ-ThegeWaypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, ON, Canada.
Louis LiuUniversity Health Network, University of Toronto, Toronto, ON, Canada.
Osnat C MelamedCentre for Addiction and Mental Health, Toronto, ON, Canada.
Frank SirotichCanadian Mental Health Association Toronto Branch, Toronto, ON, Canada.
Sanjeev SockalingamCentre for Addiction and Mental Health, Toronto, ON, Canada.
Gillian StrudwickCentre for Addiction and Mental Health, Toronto, ON, Canada.
Tania TajirianCentre for Addiction and Mental Health, Toronto, ON, Canada.
Philip G TibboDepartment of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada.
Mary Rose van KesterenCentre for Addiction and Mental Health, Toronto, ON, Canada.
Caroline WalkerCentre for Addiction and Mental Health, Toronto, ON, Canada.
Vicky StergiopoulosCentre for Addiction and Mental Health, Toronto, ON, Canada. vicky.stergiopoulos@camh.ca.

Funding

CIHR 492136
6 · The paper itself

Abstract

backgroundIndividuals experiencing serious mental illness (SMI) have higher rates of comorbid physical health conditions, poorer associated health outcomes, and die on average 10-20 years earlier than the general population. They encounter multiple barriers to accessing appropriate physical health care in many countries, including Canada, where policies and practices to promote integrated care delivery to this population remain scant. This qualitative study aimed to explore health provider perspectives and experiences with integrated physical and mental health care within mental health settings in Canada, in efforts to address the health needs of this population.

methodsThis qualitative descriptive study involved conducting individual semi-structured interviews with 13 health administrators and four focus groups with 15 clinicians between July 2023 and April 2024. The data analysis team, inclusive of individuals with SMI, used thematic analysis to identify overarching themes that capture participants' perspectives on and experiences with delivering integrated physical and mental health care within mental health settings in Canada, including their clinical practices and organizational contexts.

resultsWe identified four themes in participant narratives: (1) the need for integrated care delivery within mental health settings; (2) organizational readiness for integrated care; (3) moving integration forward: addressing challenges; and (4) leveraging opportunities to advance integrated care. Both participant groups highlighted challenges with fragmented healthcare services, emphasized the urgent need for policies, practices and guidelines that support person-centered, comprehensive care within mental health settings, and called for engaging people with living/lived experience and family members in service redesign.

conclusionFindings underscore the importance of accelerating efforts to promote integrated health care delivery for adults with SMI within mental health settings, and of implementing policies that address health disparities for this population in the Canadian context. CLINICAL TRIAL NUMBER: Not Applicable.

Indexed as

Attitude of Health PersonnelDelivery of Health Care, IntegratedHealth PersonnelMental DisordersMental Health ServicesAdultCanadaFemaleFocus GroupsHumansMaleMiddle AgedQualitative ResearchHealth services researchIntegrated carePhysical healthProvider perspectivesQualitative designReverse integrationSerious mental illness

Identifiers

PMID39953407
PMCPMC11829339

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.