Establishing a Care Continuum for Cardiometabolic Conditions for Patients with Serious Mental Illness

Curr Cardiol Rep. 2023 Apr;25(4):193-202. doi: 10.1007/s11886-023-01848-z. Epub 2023 Feb 27.


Purpose of review: Addressing cardiometabolic risk factors in persons with serious mental illness requires early screening and proactive medical management in both medical and mental health settings.

Recent findings: Cardiovascular disease remains the leading cause of death for persons with serious mental illness (SMI), such as schizophrenia or bipolar disorder, much of which is driven by a high prevalence of metabolic syndrome, diabetes, and tobacco use. We summarize barriers and recent approaches to screening and treatment for metabolic cardiovascular risk factors within physical health and specialty mental health settings. Incorporating system-based and provider-level support within physical health and psychiatric clinical settings should contribute to improvement for screening, diagnosis, and treatment for cardiometabolic conditions for patients with SMI. Targeted education for clinicians and leveraging multi-disciplinary teams are important first steps to recognize and treat populations with SMI at risk of CVD.

Keywords: Cardiovascular disease; Diabetes; Integrated care; Primary care; Schizophrenia; Serious mental illness.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Cardiovascular Diseases* / diagnosis
  • Cardiovascular Diseases* / epidemiology
  • Cardiovascular Diseases* / therapy
  • Continuity of Patient Care
  • Diabetes Mellitus* / epidemiology
  • Diabetes Mellitus* / therapy
  • Humans
  • Mental Disorders* / complications
  • Mental Disorders* / epidemiology
  • Mental Disorders* / therapy