Integrated care approaches have been recommended to remove barriers to healthcare and improve the physical health outcomes of people living with serious mental illness (SMI) and/or substance use disorders (SUDs). The aim of this systematic scoping review was to describe empirical investigations of interventions designed to integrate physical, mental, and addiction healthcare for this population. An iterative and systematic search of five electronic databases (Medline (Ovid), PsycINFO, CINAHL, Embase (Ovid) and Scopus) was conducted to identify peer-reviewed articles published between January 2000 and April 2019. Two reviewers independently screened publications in two successive stages of title and abstract screening, followed by full-text screening of eligible publications. Data from each included publication were extracted independently by two reviewers using a standardised spreadsheet. A total of 28 eligible publications were identified, representing 25 unique studies. Over half of the included studies investigated the use of case managers to provide self-management skills or to coordinate mental and physical healthcare (n = 14). Other interventions examined the co-location of services (n = 9) and the implementation of screening and referral pathways to specialist treatment (n = 2). Less than half of the included studies described a framework, theory or model that was underpinning the intervention tested. While some aspects of integrated care have been identified and addressed by interventions, other key dimensions have not been considered, such as shared decision-making. Identification of a comprehensive model of integrated care is recommended to inform the development and evaluation of future interventions for people with SMI/SUDs.

已建议采用综合护理方法来消除医疗保健的障碍，并改善患有严重精神疾病（SMI）和/或物质使用障碍（SUD）的人们的身体健康状况。这项系统的范围界定审查的目的是描述对旨在整合该人群的身体，心理和成瘾医疗保健的干预措施的实证研究。对五个电子数据库（Medline（Ovid），PsycINFO，CINAHL，Embase（Ovid）和Scopus）进行了迭代和系统的搜索，以确定在2000年1月至2019年4月之间发表的经过同行评审的文章。两名审稿人连续两次独立筛选了出版物标题和摘要筛选的各个阶段，然后是合格出版物的全文筛选。两位审阅者使用标准化电子表格独立提取每个包含的出版物中的数据。总共确定了28份合格出版物，代表25项独特的研究。超过半数的纳入研究调查了案例管理器的使用，以提供自我管理技能或协调心理和身体保健（n = 14）。其他干预措施检查了服务在同一地点（n = 9）以及筛查和转诊途径到专科治疗的实施（n = 2）。不到一半的纳入研究描述了支撑测试干预的框架，理论或模型。尽管已通过干预措施确定并解决了综合护理的某些方面，但尚未考虑其他关键方面，例如共同决策。