<mods xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mods="http://www.loc.gov/mods/v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://www.loc.gov/mods/v3" version="3.3" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-3.xsd" ID="P0b002ee1c86a68b4">
    <name type="corporate">
         <namePart>United States Government Publishing Office</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">publisher</roleTerm>
              <roleTerm authority="marcrelator" type="code">pbl</roleTerm>
        </role>
         <role>
              <roleTerm authority="marcrelator" type="text">distributor</roleTerm>
              <roleTerm authority="marcrelator" type="code">dst</roleTerm>
        </role>
    </name>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Veterans Affairs Department</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">author</roleTerm>
              <roleTerm authority="marcrelator" type="code">aut</roleTerm>
        </role>
         <description>Government Organization</description>
    </name>
    <name type="personal">
         <namePart>Bradford, Daniel W.</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">author</roleTerm>
              <roleTerm authority="marcrelator" type="code">aut</roleTerm>
        </role>
    </name>
    <typeOfResource>text</typeOfResource>
    <genre authority="marcgt">government publication</genre>
    <language>
         <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
    </language>
    <extension>
         <collectionCode>GOVPUB</collectionCode>
         <category>Executive Agency Publications</category>
         <branch>executive</branch>
         <dateIngested>2024-07-02</dateIngested>
    </extension>
    <originInfo>
         <publisher>Veterans Affairs Department</publisher>
         <dateIssued encoding="w3cdtf">2011-01-01</dateIssued>
         <issuance>monographic</issuance>
    </originInfo>
    <physicalDescription>
         <note type="source content type">harvested</note>
         <digitalOrigin>born digital</digitalOrigin>
         <extent>64 digital object pages</extent>
    </physicalDescription>
    <classification authority="sudocs">VA 1.107/3:C 18/4</classification>
    <identifier type="uri">https://www.govinfo.gov/app/details/GOVPUB-VA-PURL-gpo155329</identifier>
    <identifier type="local">P0b002ee1c86a68b4</identifier>
    <identifier type="ILS system id">001150275</identifier>
    <identifier type="purl">https://purl.fdlp.gov/GPO/gpo155329</identifier>
    <identifier type="oclc">(OCoLC)828715392</identifier>
    <recordInfo>
         <recordContentSource authority="marcorg">DGPO</recordContentSource>
         <recordCreationDate encoding="w3cdtf">2024-07-02</recordCreationDate>
         <recordChangeDate encoding="w3cdtf">2026-06-27</recordChangeDate>
         <recordIdentifier source="DGPO">GOVPUB-VA-PURL-gpo155329</recordIdentifier>
         <recordOrigin>machine generated</recordOrigin>
         <languageOfCataloging>
              <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
        </languageOfCataloging>
    </recordInfo>
    <accessCondition type="GPO scope determination">fdlp</accessCondition>
    <extension>
         <docClass>VA</docClass>
         <accessId>GOVPUB-VA-PURL-gpo155329</accessId>
         <uniqueId>PURL-gpo155329</uniqueId>
         <ACCode>GOVPUB</ACCode>
         <field name="Content Origin">This content was harvested from online sources of the original hosting or authoring agency and may not reflect current policy. As Federal agencies add publications to their websites, or report new publications to GPO per statutory mandate (44 U.S.C. §§ 1710, 1902-1903), GPO ensures long-term preservation of and access to the content.</field>
         <dateIssued notSpecified="day-month">2011</dateIssued>
         <digitizedContent>
              <code>UNREPORTEDPUBSSTAFF</code>
        </digitizedContent>
         <digitizedContent>
              <code>PERM_INGEST_12292023</code>
        </digitizedContent>
         <purlNumber>gpo155329</purlNumber>
    </extension>
    <location>
         <url displayLabel="Content Detail" access="object in context">https://www.govinfo.gov/app/details/GOVPUB-VA-PURL-gpo155329</url>
         <url displayLabel="PDF rendition" access="raw object">https://www.govinfo.gov/content/pkg/GOVPUB-VA-PURL-gpo155329/pdf/GOVPUB-VA-PURL-gpo155329.pdf</url>
    </location>
    <titleInfo>
         <title>Effects of Care Models to Improve General Medical Outcomes for Individuals with Serious Mental Illness</title>
    </titleInfo>
    <subject>
         <topic>Chronic diseases</topic>
         <topic>Comorbidity</topic>
         <topic>Mental health services</topic>
         <topic>Mental illness</topic>
         <topic>Outcome assessment (Medical care)</topic>
         <topic>Primary care (Medicine)</topic>
         <topic>Treatment</topic>
         <geographic>United States</geographic>
    </subject>
    <identifier type="sudoc item number">0985-A-12 (online)</identifier>
    <name type="personal">
         <namePart>Bradford, Daniel W.</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">creator</roleTerm>
        </role>
         <role>
              <roleTerm type="text">author.</roleTerm>
        </role>
    </name>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Department of Veterans Affairs.</namePart>
         <namePart>Health Services Research and Development Service,</namePart>
         <role>
              <roleTerm type="text">issuing body.</roleTerm>
        </role>
    </name>
    <name type="corporate">
         <namePart>Evidence-based Synthesis Program (U.S.)</namePart>
    </name>
    <originInfo>
         <place>
              <placeTerm authority="marccountry" type="code">dcu</placeTerm>
        </place>
         <publisher>Department of Veterans Affairs, Veterans Health Administration, Health Services Research &amp; Development Service</publisher>
         <dateIssued>2011.</dateIssued>
         <issuance>monographic</issuance>
    </originInfo>
    <physicalDescription>
         <extent>1 online resource (iii, 60 pages) : illustrations</extent>
    </physicalDescription>
    <classification authority="sudocs">VA 1.107/3:C 18/4</classification>
    <identifier type="sudoc-item-number">0985-A-12 (online)</identifier>
    <typeOfResource>text</typeOfResource>
    <genre authority="marcgt">bibliography</genre>
    <language>
         <languageTerm authority="iso639-2b" type="code">eng</languageTerm>
    </language>
    <abstract>Individuals with serious mental illness (SMI) have shortened life expectancies relative to the general population to an extent that is not explained by unnatural causes such as suicide or accidents. Numerous studies show higher rates of acute and chronic illnesses, lower quality general medical care and worse outcomes in individuals with SMI. The issues that influence general medical outcomes for individuals with SMI are complex and overlapping and likely vary by disease state. Relevant factors can be categorized to include population characteristics, contextual and system factors, provider factors, and community resources. Interventions aimed at improving general medical outcomes in this population could be directed at any one, or several, of these factors. The organization of service delivery for individuals with SMI may be the most modifiable of the many factors that impact general medical outcomes in this population. In this review, we sought to evaluate models of care designed to improve general medical outcomes among individuals with SMI.</abstract>
    <note type="statement of responsibility">Daniel W Bradford [and six others].</note>
    <note>&quot;Evidence-based synthesis program.&quot;</note>
    <note>&quot;September 2011.&quot;</note>
    <note type="bibliography">Includes bibliographical references.</note>
    <note type="funding">VA-ESP 09-010</note>
    <subject>
         <geographicCode authority="marcgac">n-us---</geographicCode>
    </subject>
    <subject authority="lcsh">
         <topic>Mental illness</topic>
         <topic>Treatment</topic>
         <geographic>United States</geographic>
    </subject>
    <subject authority="lcsh">
         <topic>Mental health services</topic>
         <geographic>United States</geographic>
    </subject>
    <subject authority="lcsh">
         <topic>Primary care (Medicine)</topic>
         <geographic>United States</geographic>
    </subject>
    <subject authority="lcsh">
         <topic>Outcome assessment (Medical care)</topic>
         <geographic>United States</geographic>
    </subject>
    <subject authority="lcsh">
         <topic>Chronic diseases</topic>
         <geographic>United States</geographic>
    </subject>
    <subject authority="lcsh">
         <topic>Comorbidity</topic>
         <geographic>United States</geographic>
    </subject>
    <subject authority="fast">
         <topic>Mental health services</topic>
    </subject>
    <subject authority="fast">
         <topic>Mental illness</topic>
         <topic>Treatment</topic>
    </subject>
    <subject authority="fast">
         <topic>Outcome assessment (Medical care)</topic>
    </subject>
    <subject authority="fast">
         <topic>Primary care (Medicine)</topic>
    </subject>
    <subject authority="fast">
         <geographic>United States</geographic>
    </subject>
    <location>
         <url displayLabel="electronic resource" usage="primary display">https://purl.fdlp.gov/GPO/gpo155329</url>
    </location>
    <location>
         <url displayLabel="electronic resource" note="Address at time of PURL creation">https://www.hsrd.research.va.gov/publications/esp/smi.pdf</url>
    </location>
    <titleInfo type="alternative">
         <title>Effects of care models to improve general medical outcomes for individuals with serious mental illness</title>
    </titleInfo>
    <extension>
         <searchTitle>
              <title>Effects of care models to improve general medical outcomes for individuals with serious mental illness</title>
        </searchTitle>
    </extension>
</mods>