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Continuity of Primary Care Saves Lives
Diabetes is a Serious Health Risk
Diabetes and Mental Illness
The one system of care variable that changes the risk of developing worse diabetes relates to continuity of primary care.  Fragmentation of primary care at baseline and moving from continuous to fragmented care in follow-up is associated with worse diabetes, while a  move from fragmented to continuous care appears protective.
Persons with Serious Mental Illness (SMI), Non SMI Mental Illness and dual diagnosis (a mental health and substance abuse diagnosis) have higher rates of diabetes, pre-diabetes and complicated diabetes at baseline; and they are more likely to develop worse diabetes in follow up years.
Mental illness is not “just another co-morbidity.” The impact on worsening diabetes of any one behavioral health disorder is generally as great or greater than having 3 or even 4 other medical comorbidities

Contact Us

For more information about the Maine Multiple Complex Conditions Project:

Elsie Freeman MD MPH
Medical Director for Integrated Care Projects
Maine DHHS Office of Quality Improvement
221 State Street, SHS 11
Augusta, ME 04333
207-215-4951
, This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Catherine McGuire
Director, Health Data Resources
University of Southern Maine, Muskie School of Public Service
Cutler Institute for Health & Social Policy

P.O. Box 9300
Portland, ME  04104-9300

207-780-4034, This e-mail address is being protected from spambots. You need JavaScript enabled to view it