Advertisement

Predictors of Receipt of Physical Health Services in Mental Health Clinics

  • Joshua BreslauEmail author
  • Riti Pritam
  • Diana Guarasi
  • Marcela Horvitz-Lennon
  • Molly Finnerty
  • Hao Yu
  • Emily Leckman-Westin
Original Paper
  • 22 Downloads

Abstract

To inform efforts to improve physical health care for adults with serious mental illness, this study examines predictors of provision and receipt of physical health services in freestanding mental health clinics in New York state. The number of services provided over the initial 12-months of implementation varied across clinics from 0 to 1407. Receipt of services was associated with a diagnosis of schizophrenia, frequent mental and physical health visits in the prior year, and prescription of antipsychotic medications. Additional support may also be needed to enable clinics to target patients without established patterns of frequent mental health or medical visits.

Keywords

Serious mental illness Primary care services Chronic physical illness Integrated care 

Notes

Acknowledgement

The funding was provided by National Institute of Mental Health (Grant No. R01MH102379).

References

  1. Alakeson, V., Frank, R. G., & Katz, R. E. (2010). Specialty care medical homes for people with severe, persistent mental disorders. Health Affairs, 29(5), 867–873.CrossRefGoogle Scholar
  2. Breslau, J., Yu, H., Horvitz-Lennon, M., Leckman-Westin, E., Scharf, D. M., Connor, K. L., et al. (2017). Enrollment of specialty mental health clinics in a state medicaid program to promote general medical services. Psychiatric Services, 68(1), 63–69.  https://doi.org/10.1176/appi.ps.201600104.CrossRefGoogle Scholar
  3. Connor, K. L., Breslau, J., Finnerty, M. T., Leckman-Westin, E., Pritam, R., & Yu, H. (2018). Integrating physical health: What were the costs to behavioral health care clinics? General Hospital Psychiatry.  https://doi.org/10.1016/j.genhosppsych.2017.12.006.Google Scholar
  4. Druss, B. G., Marcus, S. C., Campbell, J., Cuffel, B., Harnett, J., Ingoglia, C., et al. (2008). Medical services for clients in community mental health centers: Results from a national survey. Psychiatric Services, 59(8), 917–920.  https://doi.org/10.1176/ps.2008.59.8.917.CrossRefGoogle Scholar
  5. Druss, B. G., Rohrbaugh, R. M., Levinson, C. M., & Rosenheck, R. A. (2001). Integrated medical care for patients with serious psychiatric illness: A randomized trial. Archives of General Psychiatry, 58(9), 861–868.CrossRefGoogle Scholar
  6. Druss, B. G., von Esenwein, S. A., Compton, M. T., Rask, K. J., Zhao, L., & Parker, R. M. (2010). A randomized trial of medical care management for community mental health settings: The Primary Care Access, Referral, and Evaluation (PCARE) study. American Journal of Psychiatry, 167(2), 151–159.  https://doi.org/10.1176/appi.ajp.2009.09050691.CrossRefGoogle Scholar
  7. Druss, B. G., von Esenwein, S. A., Glick, G. E., Deubler, E., Lally, C., Ward, M. C., et al. (2016). Randomized trial of an integrated behavioral health home: The health outcomes management and evaluation (HOME) study. American Journal of Psychiatry.  https://doi.org/10.1176/appi.ajp.2016.16050507.Google Scholar
  8. Garcia, M. E., Schillinger, D., Vittinghoff, E., Creasman, J. M., Knapp, P., Newcomer, J. W., et al. (2017). Nonpsychiatric outpatient care for adults with serious mental illness in California: Who is being left behind? Psychiatric Services, 68(7), 689–695.  https://doi.org/10.1176/appi.ps.201600284.CrossRefGoogle Scholar
  9. Hall, J., Cohen, D. J., Davis, M., Gunn, R., Blount, A., Pollack, D. A., et al. (2015). Preparing the workforce for behavioral health and primary care integration. Journal of the American Board of Family Medicine, 28(Supplement 1), S41–51.  https://doi.org/10.3122/jabfm.2015.S1.150054.CrossRefGoogle Scholar
  10. Janssen, E. M., McGinty, E. E., Azrin, S. T., Juliano-Bult, D., & Daumit, G. L. (2015). Review of the evidence: Prevalence of medical conditions in the United States population with serious mental illness. General Hospital Psychiatry.  https://doi.org/10.1016/j.genhosppsych.2015.03.004.Google Scholar
  11. Kronick, R., Gilmer, T., Dreyfus, T., & Lee, L. (2000). Improving health-based payment for Medicaid beneficiaires: CDPS. Health Care Financing Review, 21(3), 29.Google Scholar
  12. McGinty, E. E., Baller, J., Azrin, S. T., Juliano-Bult, D., & Daumit, G. L. (2015). Quality of medical care for persons with serious mental illness: A comprehensive review. Schizophrenia Research, 165(2–3), 227–235.  https://doi.org/10.1016/j.schres.2015.04.010.CrossRefGoogle Scholar
  13. Mitchell, A. J., Delaffon, V., Vancampfort, D., Correll, C. U., & De Hert, M. (2012). Guideline concordant monitoring of metabolic risk in people treated with antipsychotic medication: Systematic review and meta-analysis of screening practices. Psychological Medicine, 42(1), 125–147.  https://doi.org/10.1017/S003329171100105X.CrossRefGoogle Scholar
  14. Ramanuj, P. P., Talley, R., Breslau, J., Wang, S. S., & Pincus, H. A. (2018). Integrating behavioral health and primary care services for people with serious mental illness: A qualitative systems analysis of integration in New York. Community Mental Health Journal.  https://doi.org/10.1007/s10597-018-0251-y.Google Scholar
  15. Scharf, D. M., Eberhart, N. K., Hackbarth, N. S., Horvitz-Lennon, M., Beckman, R. L., Han, B., et al. (2014). Evaluation of the SAMHSA Primary and Behavioral Health Care Integration (PBHCI) grant program : Final report (task 13). Santa Monica, CA: RAND.Google Scholar
  16. Scharf, D. M., Schmidt Hackbarth, N., Eberhart, N. K., Horvitz-Lennon, M., Beckman, R., Han, B., et al. (2016). General medical outcomes from the Primary and Behavioral Health Care Integration grant program. Psychiatric Services, 67(11), 1226–1232.  https://doi.org/10.1176/appi.ps.201500352.CrossRefGoogle Scholar
  17. Stein, B. D., Pangilinan, M., Sorbero, M. J., Marcus, S. M., Donahue, S. A., Xu, Y., et al. (2014). Using claims data to generate clinical flags predicting short-term risk of continued psychiatric hospitalizations. Psychiatric Services, 65(11), 1341–1346.  https://doi.org/10.1176/appi.ps.201300306.CrossRefGoogle Scholar
  18. U.S. Department of Agriculture. (2013). 2010 Rural urban commuting area codes. Retrieved from http://www.ers.usda.gov/data-products/rural-urban-commuting-area-codes.aspx.

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.RAND CorporationPittsburghUSA
  2. 2.New York State Office of Mental HealthAlbanyUSA
  3. 3.RAND CorporationBostonUSA
  4. 4.Langone Medical CenterNew York UniversityNew YorkUSA

Personalised recommendations