title: White Paper AGA: The Impact of Mental and Psychosocial Factors on the Care of Patients With Inflammatory Bowel Disease.
abstract: Patients with chronic medically complex disorders like inflammatory bowel diseases (BD) often have mental health and psychosocial comorbid conditions. There is growing recognition that factors other than disease pathophysiology impact patients' health and wellbeing. Provision of care that encompasses medical care plus psychosocial, environmental and behavioral interventions to improve health has been termed "whole person care" and may result in achieving highest health value. There now are multiple methods to survey patients and stratify their psychosocial, mental health and environmental risk. Such survey methods are applicable to all types of IBD programs including those at academic medical centers, independent health systems and those based within independent community practice. Once a practice determines that a patient has psychosocial needs, a variety of resources are available for referral or co-management as outlined in this paper. Included in this white paper are examples of psychosocial care that is integrated into IBD practices plus innovative methods that provide remote patient management.
authors.affiliation: University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
authors.forename: Eva M
authors.initials: EM
authors.lastname: Szigethy
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, University of Michigan School of Medicine, Ann Arbor, Michigan. Electronic address: allenji@med.umich.edu.
authors.forename: John I
authors.initials: JI
authors.lastname: Allen
authors.affiliation: University of Southern California, San Diego, California.
authors.forename: Marci
authors.initials: M
authors.lastname: Reiss
authors.affiliation: American Gastroenterological Association, Bethesda, Maryland.
authors.forename: Wendy
authors.initials: W
authors.lastname: Cohen
authors.affiliation: Aurora Healthcare, Grafton, Wisconsin.
authors.forename: Lilani P
authors.initials: LP
authors.lastname: Perera
authors.affiliation: Episodes of Care, Market Innovations, Horizon Blue Cross Blue Shield of New Jersey, Newark, New Jersey.
authors.forename: Lili
authors.initials: L
authors.lastname: Brillstein
authors.affiliation: University of Maryland School of Medicine, Baltimore, Maryland.
authors.forename: Raymond K
authors.initials: RK
authors.lastname: Cross
authors.affiliation: Vanderbilt University Medical Center, Nashville, Tennessee.
authors.forename: David A
authors.initials: DA
authors.lastname: Schwartz
authors.affiliation: Illinois Gastroenterology, Chicago, Illinois.
authors.forename: Lawrence R
authors.initials: LR
authors.lastname: Kosinski
authors.affiliation: Minnesota Gastroenterology PA, Minneapolis, Minnesota.
authors.forename: Joshua B
authors.initials: JB
authors.lastname: Colton
authors.affiliation: Department of Psychiatry, Allina Health, Minneapolis, Minnesota.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: LaRusso
authors.affiliation: Icahn School of Medicine at Mount Sinai, New York City, New York.
authors.forename: Ashish
authors.initials: A
authors.lastname: Atreja
authors.affiliation: University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
authors.forename: Miguel D
authors.initials: MD
authors.lastname: Regueiro
mesh_terms: D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000523:psychology* / Q000628:therapy*; D011584:Psychology; D011788:Quality of Life
keywords: Alternative Payment Models; Anxiety; Crohn's Disease; Depression; Episode of Care; Inflammatory Bowel Disease; Integrated Care; Patient Reported Outcomes; Psychosocial Care; Remote Monitoring; Telehealth; Ulcerative Colitis; Whole Person Care