Managing Complexity: Diabetes and Psychosis

Managing Complexity: Diabetes and Psychosis. People with psychosis are nearly three times more likely to develop diabetes than the general population. Compared to others with diabetes, those who also have psychosis are more likely to experience microvascular and macrovascular complications, are more likely to require hospitalization and ICU care and are more likely to die from diabetes. Our goal is to develop strategies and programs to support people with psychosis to manage their diabetes better and to improve their healthcare services.

• Team Approach to Reaching Goals for Diabetes Treatment (TARGET). This 2-year project developed a mental health center-based collaborative care intervention for treatment of psychosis and poorly controlled diabetes, and demonstrated its feasibility, acceptability to multiple stakeholder groups and preliminary effectiveness in a pilot randomized controlled trial. Funding source: NIDDK R21DK096286
• Improving Care for People with Diabetes and Psychosis. Our developing research program aims to increase understanding of the experience of living with diabetes and psychosis. A current project includes a cross-sectional survey of UW Medicine patients to characterize barriers to self-management and identify correlates of high quality care and good disease control. Funding source: Many Minds Collaborative

Resources

• Treating complexity- Collaborative care for multiple chronic conditions
• Use of a Mental Health Center Collaborative Care Team to Improve Diabetes Care and Outcomes for Patients With Psychosis