title: A Nursing Approach to Self-Management Education for Individuals With Mental Illness and Diabetes.
abstract: Patients with serious mental illness (SMI) and diabetes often seek care in primary care settings and have worse health outcomes than patients who have either illness alone. Individual, provider, and system-level barriers present challenges to addressing both psychiatric and medical comorbidities. This article describes the feasibility, acceptability, and implementation of Targeted Training and Illness Management (TTIM), a self-management intervention delivered by trained nurse educators and peer educators to groups of individuals with SMI and diabetes to improve self-management of both diseases. TTIM is intended to be delivered in a primary care setting. Findings are intended to support the future development of nurse-led programs within the primary care setting that teach self-management to individuals with concurrent SMI and diabetes. This approach supports both adaptability and flexibility in delivering the intervention. Interventions such as TTIM can provide self-management skills, accommodate people with both SMI and diabetes in primary care settings such as patient-centered medical homes, and address known barriers to access.
authors.affiliation: MetroHealth Medical Center, Cleveland, OH.
authors.forename: Mary Ellen
authors.initials: ME
authors.lastname: Lawless
authors.affiliation: MetroHealth Medical Center, Cleveland, OH.
authors.forename: Stephanie W
authors.initials: SW
authors.lastname: Kanuch
authors.affiliation: MetroHealth Medical Center, Cleveland, OH.
authors.forename: Siobhan
authors.initials: S
authors.lastname: Martin
authors.affiliation: MetroHealth Medical Center, Cleveland, OH.
authors.forename: Denise
authors.initials: D
authors.lastname: Kaiser
authors.affiliation: MetroHealth Medical Center, Cleveland, OH.
authors.forename: Carol
authors.initials: C
authors.lastname: Blixen
authors.affiliation: University Hospitals Case Medical Center, Cleveland, OH.
authors.forename: Edna
authors.initials: E
authors.lastname: Fuentes-Casiano
authors.affiliation: University Hospitals Case Medical Center, Cleveland, OH.
authors.forename: Martha
authors.initials: M
authors.lastname: Sajatovic
authors.affiliation: MetroHealth Medical Center, Cleveland, OH.
authors.forename: Neal V
authors.initials: NV
authors.lastname: Dawson