Get breaking news alerts via email

Click here to manage your alerts
Utah bill: Your therapist and doctor should join forces — in one office

Integrating physical, mental health care aims to boost health, cut costs.

First Published Feb 11 2013 01:01 am • Last Updated May 21 2013 11:31 pm

Shannon Varn has dropped 15 pounds and silenced the voices in her head.

The Ogden woman credits her improved physical and mental health to a hot concept in health care: jointly providing both types of care in one place.

At a glance

What’s next

HB57 has passed the House and a Senate committee and is awaiting a second reading in the Senate.

Join the Discussion
Post a Comment

At the Wellness Clinic, mental health clients of Weber Human Services can now see a primary care physician in the same clinic where they get therapy and psychiatric medications. Research has shown mental health patients can struggle to stay physically healthy.

"I don’t see why I should be sick all the time just because I have a mental illness," says Varn.

A bill sailing through the Utah Legislature aims to promote that kind of integration, hoping to improve health and ultimately save money.

HB57, sponsored by Rep. Dean Sanpei, R-Provo, would require the state Division of Substance Abuse and Mental Health to promote and evaluate integrated programs that address substance abuse, mental health and physical health care needs.

People who are severely and persistently mentally ill — the ones treated by government-funded mental health services — die 25 years earlier than the rest of the population, Sanpei said, citing national research. Preventable medical conditions are their leading cause of death, he said. And they have higher rates of hypertension, diabetes, obesity and asthma, and they’re less likely to receive good medical care.

But the bill, which has passed the House and awaits full Senate action, provides no money to create integrated programs.

And that may prove a problem to creating them. The Ogden clinic is funded by a $4.5 million federal grant — one of just 70 available. Kevin Eastman, director of Weber Human Services, supports Sanpei’s bill, and said competition has only grown for the grants.

"That’s the challenge, building relationships, finding ways to fund it," he said.

story continues below
story continues below

Weber Human Services’ clients are referred to its Wellness Clinic if they don’t have a primary care doctor or if they haven’t seen their doctor within the past year. At the clinic, they can see their mental health therapist and psychiatrist and then step across the hall to see their primary care doctor, provided by the Midtown Community Health Center.

The 840 patients who have signed up also get access to free wellness classes on nutrition, stress management, exercise and goal setting, said Karen Bassett, who helps oversee the clinic.

"We bring the doctor [to them], but just as important to us is we bring some wellness options for them," she said.

Data she provided show many patients have either lowered their blood pressure, cholesterol or body mass index.

"A lot of those people who didn’t have any health [care before the integration] went to the emergency room," Eastman said.

Bassett said national studies have shown that integrated programs reduce medical costs by 17 percent, compared to a jump in costs of 12 percent in the control groups. She said the studies also show it costs $250 a patient per year to integrate, resulting in $500 savings in medical costs.

Those savings would be realized by Medicaid, since most of the patients at the clinic are enrolled in that government program.

Varn said she likes the convienience of the Wellness clinic, where there is also a pharmacy. She said the real value is in the wellness classes, which she also helps teach as a peer support specialist.

Varn said she’s doing yoga, changed her diet and feels more mentally stable. The symptoms of the 46-year-old’s schizoaffective disorder — hearing voices, paranoia and anxiety — have diminished.

"I have a balanced life," she said. "I work and play and I take care of my mental and physical health."

Copyright 2014 The Salt Lake Tribune. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Top Reader Comments Read All Comments Post a Comment
Click here to read all comments   Click here to post a comment

About Reader Comments

Reader comments on sltrib.com are the opinions of the writer, not The Salt Lake Tribune. We will delete comments containing obscenities, personal attacks and inappropriate or offensive remarks. Flagrant or repeat violators will be banned. If you see an objectionable comment, please alert us by clicking the arrow on the upper right side of the comment and selecting "Flag comment as inappropriate". If you've recently registered with Disqus or aren't seeing your comments immediately, you may need to verify your email address. To do so, visit disqus.com/account.
See more about comments here.
Staying Connected
Contests and Promotions
  • Search Obituaries
  • Place an Obituary

  • Search Cars
  • Search Homes
  • Search Jobs
  • Search Marketplace
  • Search Legal Notices

  • Other Services
  • Advertise With Us
  • Subscribe to the Newspaper
  • Access your e-Edition
  • Frequently Asked Questions
  • Contact a newsroom staff member
  • Access the Trib Archives
  • Privacy Policy
  • Missing your paper? Need to place your paper on vacation hold? For this and any other subscription related needs, click here or call 801.204.6100.