{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T07:43:40Z","timestamp":1771659820359,"version":"3.50.1"},"reference-count":53,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T00:00:00Z","timestamp":1654560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005268","name":"Center for Mental Health Services","doi-asserted-by":"publisher","award":["1H79SM080245\u201001"],"award-info":[{"award-number":["1H79SM080245\u201001"]}],"id":[{"id":"10.13039\/100005268","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>People with serious mental illness (SMI) are more likely to develop chronic health conditions and die prematurely. Timely identification of modifiable health risk factors may enable early intervention. We aimed to describe the physical health characteristics and service utilization of young people with SMI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Young people with SMI enrolled in an integrated community mental health clinic (CMHC) and primary care program were assessed for physical and mental health history and past year service utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 122 participants, ages 16\u201335 (<jats:italic>m<\/jats:italic>\u00a0=\u00a027.0\u2009\u00b1\u20095.0\u2009years), half male, 78.3% White were assessed. Half smoked cigarettes, half had obesity, almost half (47.5%, <jats:italic>n<\/jats:italic>\u00a0=\u00a056) had hypertension, and about a third had laboratory metabolic abnormalities. The group averaged 10.7\u2009\u00b1\u20095.1\u2009h of sedentary behavior per day. Obesity was associated with high blood pressure, prediabetes, poor self\u2010rated health abilities, sedentary behavior and low health satisfaction. Over half had been to the emergency department (ED) for a medical reason (55.0%, <jats:italic>n<\/jats:italic>\u00a0=\u00a066) and 24.6% had been hospitalized for a health condition in the past year. Over half had a lifetime cardiovascular risk score indicating a 50\u201367% chance of having a cardiovascular event; simply quitting smoking would reduce the number with this risk by almost half. Most physical health diagnoses were not recorded in the CMHC record.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Young people with SMI newly enrolled in integrated care had high rates of smoking, obesity, hypertension, and other cardio\u2010metabolic abnormalities contributing to high risk for future disease. Research is needed to examine appealing, scalable interventions to improve health, reduce unnecessary medical care, and prevent disparate chronic disease in this group.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.13302","type":"journal-article","created":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T04:48:07Z","timestamp":1654663687000},"page":"167-176","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Health status of young adults with serious mental illness enrolled in integrated care"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0713-8745","authenticated-orcid":false,"given":"Mary F.","family":"Brunette","sequence":"first","affiliation":[{"name":"Dartmouth\u2010Hitchcock Medical Center  Lebanon New Hampshire USA"},{"name":"Geisel School of Medicine at Dartmouth  Hanover New Hampshire USA"},{"name":"Bureau of Mental Health Services New Hampshire Department of Health and Human Services  Concord New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minda A.","family":"Gowarty","sequence":"additional","affiliation":[{"name":"Dartmouth\u2010Hitchcock Medical Center  Lebanon New Hampshire USA"},{"name":"Geisel School of Medicine at Dartmouth  Hanover New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley E.","family":"Gaughan\u2010Maher","sequence":"additional","affiliation":[{"name":"Geisel School of Medicine at Dartmouth  Hanover New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah I.","family":"Pratt","sequence":"additional","affiliation":[{"name":"Dartmouth\u2010Hitchcock Medical Center  Lebanon New Hampshire USA"},{"name":"Geisel School of Medicine at Dartmouth  Hanover New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly A.","family":"Aschbrenner","sequence":"additional","affiliation":[{"name":"Dartmouth\u2010Hitchcock Medical Center  Lebanon New Hampshire USA"},{"name":"Geisel School of Medicine at Dartmouth  Hanover New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheila","family":"Considine\u2010Sweeny","sequence":"additional","affiliation":[{"name":"Greater Nashua Mental Health  Nashua New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Elliott","sequence":"additional","affiliation":[{"name":"Community Partners  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Almeida","sequence":"additional","affiliation":[{"name":"The Mental Health Center of Greater Manchester  Manchester New Hampshire USA"},{"name":"Harvard University  Cambridge Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia M.","family":"L'Esperance","sequence":"additional","affiliation":[{"name":"Bureau of Mental Health Services New Hampshire Department of Health and Human Services  Concord New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc21-S002"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyr018"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1710026"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v65n0219"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000000678"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2019.12.004"},{"issue":"5","key":"e_1_2_8_8_1","first-page":"42","article-title":"Self\u2010rated abilities for health practices: A health self\u2010efficacy measure","volume":"17","author":"Becker H. E.","year":"1993","journal-title":"Health Values: The Journal of Health Behavior, Education and Promotion"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2016.01.023"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2017.10.031"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2013.09.014"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2016.05.002"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13261"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2008.09.012"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/10673220600889256"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.1314"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-015-9833-0"},{"key":"e_1_2_8_18_1","unstructured":"Defining adult overweight and obesity. (2021). Retrieved fromhttps:\/\/www.cdc.gov\/obesity\/adult\/defining.html"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12880"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2015.11.010"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2005.00637.x"},{"key":"e_1_2_8_22_1","volume-title":"Drug information handbook a comprehensive resource for all clinicians and healthcare professionals","year":"2013"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2016.16050507"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(16)32586-7"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000437741.48606.98"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000000625"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1139\/apnm-2020-0160"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.6.617"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-146-5-200703060-00004"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.20.2606"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.18m12422"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.188136"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201500553"},{"key":"e_1_2_8_35_1","volume-title":"Trends in emergency department visits, 2006\u20132014","author":"Moore B. J.","year":"2017"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2016.0538"},{"key":"e_1_2_8_37_1","volume-title":"Resource Guide: Screening for Drug Use in General Medical Settings"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2014.0103"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2018.3550"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2215-0366(19)30416-x"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2015.11.005"},{"key":"e_1_2_8_42_1","unstructured":"Promoting integration of primary and behavioral health care. (2020). Retrieved fromhttps:\/\/www.samhsa.gov\/grants\/grant-announcements\/sm-17-008"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1139\/apnm-2020-0272"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201500352"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-020-00730-4"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202000155"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.06.007"},{"key":"e_1_2_8_48_1","unstructured":"The American College of Cardiology ASCVD Risk Estimator Plus. (2021). Retrieved fromhttps:\/\/tools.acc.org\/ascvd-risk-estimator-plus\/#!\/calculate\/estimate\/"},{"key":"e_1_2_8_49_1","volume-title":"The health consequences of smoking \u2010\u2010 50\u2009years of Progress: A report of the surgeon general","year":"2014"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/mjt.0000000000000853"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202000299"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000066"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.13551"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-009-0004-3"}],"container-title":["Early Intervention in Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eip.13302","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/eip.13302","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eip.13302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T18:19:45Z","timestamp":1692382785000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/eip.13302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,7]]},"references-count":53,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1111\/eip.13302"],"URL":"https:\/\/doi.org\/10.1111\/eip.13302","archive":["Portico"],"relation":{},"ISSN":["1751-7885","1751-7893"],"issn-type":[{"value":"1751-7885","type":"print"},{"value":"1751-7893","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,7]]},"assertion":[{"value":"2021-07-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}