330.639.01 | AY 2013-2014 - 4th Term | 3 Credit(s)
MW 1:30:00 PM
  • Contact Information
    Joseph Gallo
    Gail Daumit
  • Course Learning Objectives

    After completing this course, you should be able to:

    • Demonstrate knowledge of the descriptive epidemiology of the major mental disorders and co-occurring medical conditions: a) Name the most commonly occurring co-morbid physical and mental disorders b) Name three risk factors for mental disorders among persons with physical disorders c) State the prevalence and incidence of co-morbidity and what is known about rates worldwide d) Define methodological and conceptual issues for the measurement of psychopathology in the context of medical illness
    • Identify how mental health and illness interact with physical health and illness to affect health outcomes such as function, quality of life, and mortality: a) Discuss the social, behavioral, psychological, and biological pathways through which mental health and illness may interact with physical health and illness b) Enumerate the evidence and identify the gaps on evidence between specific medical conditions, such as diabetes, with specific mental health conditions, such as depression
    • Describe the impact of medical and mental illness co-morbidity on the use and organization of health services: a) Discuss the evidence on medical co-morbidity and mental illness are managed in primary health care and in specialty psychiatric and non-psychiatric (e.g., cardiology) sectors b) Name and discuss service delivery models that have been studied to integrate the care for mental illness and medical co-morbidity c) Discuss the evidence on whether the consequences of medical co-morbidity can be ameliorated or prevented, including the use of screening strategies d) Name three ways that health care policy influences the organization, financing, and referral patterns related to mental health and illness in the context of medical co-morbidity
  • Course Description
    Addresses the epidemiology, consequences, measurement, and implications for health service delivery of co-morbidity of mental and physical disorders. Employs a conceptual framework that emphasizes the potential psychological, behavioral, social, and biological mechanisms through which mental and medical illness interact to cause disability and death. This model has implications for development of new service delivery models that integrate the care of mental health disorders into the care of medical conditions such as cancer, cardiovascular disease, and diabetes. Students interact with investigators and clinicians in lecture format, examine case studies, and generate a paper related to a medical-psychiatric co-morbidity of their choosing.
  • Intended Audience
    Students in public health, medicine, or nursing, including fellows or post-doctoral trainees.
  • Methods of Assessment

    class participation, review of a publication, and a short paper on a topic related to mental and physical comorbidity of interest to the student

  • Course Schedule

    Please see the course Session for a full list of dates and items for this course.

  • Academic Ethics Code

    Students enrolled in the Bloomberg School of Public Health of The Johns Hopkins University assume an obligation to conduct themselves in a manner appropriate to the University's mission as an institution of higher education. A student is obligated to refrain from acts which he or she knows, or under the circumstances has reason to know, impair the academic integrity of the University. Violations of academic integrity include, but are not limited to: cheating; plagiarism; knowingly furnishing false information to any agent of the University for inclusion in the academic record; violation of the rights and welfare of animal or human subjects in research; and misconduct as a member of either School or University committees or recognized groups or organizations.

  • Disability Support Services
    If you are a student with a documented disability who requires an academic accommodation, please contact the Office of Student Life Services at 410-955-3034 or via email at