1. Integrated Health Care Integrated primary and mental health care for individuals with severe mental illness (SMI) Judith Lloyd Storfjell, PhD, RN, FAAN Professor & Associate Dean, Executive Director, Institute for Healthcare Innovation, UIC CON Lucy Marion, PhD, RN, FAAN, FAANP Dean & Professor Georgia Health Sciences University Kathryn Christiansen, PhD, RN, FAAN Associate Professor, UIC CON Integrated Health Care

2. IHC Overview (1998 to present)  Blending concepts & processes of both mental & physical health care in the context of SMI & co-morbid disease  Psych APN faculty identified need  Partner: Thresholds Psychiatric Rehabilitation Center  APRNs (Family, Adult, Pediatric, Psych), Care Managers  Healthcare home  Evidence-based practice vs. practice-based evidence  4 Chicago locations  FQHC

3. Challenges—a practice perspective  Financial Start-up & expansion funding (grant dependency) Reimbursement FQHC implementation ‘complexities’  Systems/infrastructure development University, Medical Center, Thresholds, FQHC HR, hiring, competitive wages Clinic space Faculty time constraints  Science vs. Business Data collection & analysis Researcher involvement