Coming up in my particular neighborhood in Little Rock, Ark., one of my dearest childhood friends was a boy we nicknamed something unflattering but — except for the meanest among us kids — treated with great kindness. He was “just slow,” we said, and left it at that.
The armchair analyst in me concluded, when we were teens, that my friend was mildly retarded (in the vernacular of that time). He also suffered sometimes-paralyzing bouts of depression. All these decades later, he remains a beloved treasure. I call him brother. He’s still a fixture in our hometown neighborhood, self-medicating with weed and, sometimes, crack. He’s snaggle-toothed, his skin an ashen gray. He looks way older than the rest of us. People with chronic, severe mental illness tend to die earlier than the rest of us. Continue reading
As the Department of Health and Human Services continues its shift towards an outcomes-based payment model, one small health system is working with its pharmacists to create an innovative disease management initiative to minimize hospital readmissions and improve health status for its most complex – and costly – patients.
The Comprehensive Health Management program developed by Martin Health System in Stuart, Fla., establishes a progressive role for pharmacists to work directly with older, chronically ill patients. Integrating these neighborhood-based professionals into the system’s primary care practices improves management of patients with chronic diseases such as diabetes, obesity, heart and lung disease, according to David Harlow, Pharm.D., assistant vice president for professional services, clinical imaging, clinical laboratory, clinical pharmacy and disease management at Martin. Continue reading