Impact of a Mental Health Based Primary Care Program on Quality of Physical Health Care.
Joshua BreslauEmily Leckman-WestinHao YuBing HanRiti PritamDiana GuarasiMarcela Horvitz-LennonDeborah M ScharfHarold A PincusMolly T FinnertyPublished in: Administration and policy in mental health (2019)
We examine the impact of mental health based primary care on physical health treatment among community mental health center patients in New York State using propensity score adjusted difference in difference models. Outcomes are quality indicators related to outpatient medical visits, diabetes HbA1c monitoring, and metabolic monitoring of antipsychotic treatment. Results suggest the program improved metabolic monitoring for patients on antipsychotics in one of two waves, but did not impact other quality indicators. Ceiling effects may have limited program impacts. More structured clinical programs to may be required to achieve improvements in quality of physical health care for this population.
Keyphrases
- mental health
- healthcare
- primary care
- end stage renal disease
- quality improvement
- newly diagnosed
- ejection fraction
- mental illness
- chronic kidney disease
- physical activity
- peritoneal dialysis
- public health
- prognostic factors
- type diabetes
- cardiovascular disease
- adipose tissue
- metabolic syndrome
- glycemic control
- replacement therapy
- weight loss
- smoking cessation
- health promotion