Cynthia K. Crews

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Successful treatment of persons with anorexia nervosa is possible when a multidisciplinary team consisting of a mental health professional, a dietician, and a medical professional with expertise in eating disorders direct treatment. One of the primary goals of treatment is the restoration of weight. Refeeding by oral, enteral, or parenteral routes is a(More)
Historically, the medical care of persons with severe and persistent mental illness (SPMI) has been suboptimal. In many communities, large gaps exist in the continuum of services necessary to meet the medical needs of those patients, and existing services are not well coordinated. The effect of the managed mental health care on patients with SPMI remains to(More)
Bulimia nervosa is a common eating disorder that predominantly affects young women. There are three main models of purging in bulimia. Resulting medical complications are related to the particular mode and frequency of purging. Commonly, there are oral and gastrointestinal complications along with serious electrolyte and endocrine complications. The(More)
The objective of this study was to determine the prevalence of self-reported podiatric impairments and their effect on health status in persons with severe mental illness. A sample of psychiatric outpatients (N=309) underwent interviews assessing medical conditions and health status with the Medical Outcomes Study Short Form-36 (SF-36). Podiatric health was(More)
To the Editor:— We read with interest the article by Carney et al. on the association of schizophrenia with other medical illnesses. In reality, the migration of psychiatric patients into general Internal Medicine practice has been progressively increasing since the deinstitutionalization of the severely mentally ill over 40 years ago. At Denver Health, a(More)
lized, offers an oppor tuni ty for a realistic collaboration among insu rance companies , providers, and pat ients a round the balance of costs and benefits. Full financial disclosure is a way to create an open, accountable, and sus ta inab le sys tem of resource allocation. It is essential if we are to reduce the public percept ion that doctors are making(More)
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