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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Kronick, R., Gilmer, T., Dreyfus, T., & Lee, L. (2000). Improving health-based payment for Medicaid beneficiaires: CDPS. Health Care Financing Review, 21(3), 29.
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.
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.
New York State Office of Mental Health. (2015). Patient characteristics survey. Retrieved from https://my.omh.ny.gov/webcenter/faces/pcs/home?wc.contextURL=/spaces/pcs&_adf.ctrl-state=2cwfhdrho_4&wc.contextURL=%2Fspaces%2Fpcs&wc.originURL=%2Fspaces%2Fpcs&_afrLoop=209563254960782.
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.
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.
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.
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.
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.
Acknowledgement
The funding was provided by National Institute of Mental Health (Grant No. R01MH102379).
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Breslau, J., Pritam, R., Guarasi, D. et al. Predictors of Receipt of Physical Health Services in Mental Health Clinics. Community Ment Health J 55, 1279–1287 (2019). https://doi.org/10.1007/s10597-019-00399-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10597-019-00399-4