Integrating Mental Health in Safety-net Primary Care: A Five-year Observational Study on Visits in a County Health System
Background:
Beginning in 2010, Los Angeles County Departments of Health Services and Mental Health collaborated to increase access to effective mental health care. The Mental Health Integration Program (MHIP) embedded behavioral health specialists in primary care clinics to deliver brief, problem-focused treatments, and psychiatric consultation support for primary care-prescribed psychotropic medications.
Objective:
The aim was to compare primary care visits associated with psychiatric diagnoses before and after MHIP implementation.
Methods:
This retrospective cohort study (2009–2014) examined 62,945 pa...
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Original Articles Source Type: research
Costs of a Train-the-Trainer Program to Teach Primary Care Faculty Mental Health Care
Conclusions:
Successfully adopted in all US allopathic medical schools, the 3T program will provide over 3800 attitudinally competent and mental health skills-qualified primary care faculty members. They would then be available to train nearly 100,000 medical students per year and 55,000 primary care residents to be as competent in basic mental health care as in medical care. This 3T program will begin to meet the needs each year for the millions of adults with major mental disorders that now are largely unrecognized and untreated. (Source: Medical Care)
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Brief Report Source Type: research
Family Caregiver and Provider Perspectives on Inclusive Care: Aligning Needs and Expectations
Conclusions:
Our findings suggest that expanding inclusive care could improve care quality and health outcomes of individuals with complex health care needs. Further, our findings bolster recent policy efforts at the federal and state levels to increase recognition of caregivers as key members of the health care team. (Source: Medical Care)
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Patient-centered Care Source Type: research
Shadow Coaching Improves Patient Experience With Care, But Gains Erode Later
Conclusions:
Shadow coaching improved providers’ overall performance and communication immediately after being coached. Regularly planned shadow coaching “booster” sessions might maintain or even increase the improvement gained in patient experience scores, but research examining additional coaching and optimal implementation is needed. (Source: Medical Care)
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Original Article Source Type: research
Editorial on “Shadow Coaching Improves Patient Experience With Care, But Gains Erode Later” by Quigley et al
No abstract available (Source: Medical Care)
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Editorial Source Type: research
Impact of Mental Health Insurance Legislation on Mental Health Treatment in a Longitudinal Sample of Adolescents
Conclusions:
Prolonged exposure to comprehensive mental health laws across a person’s childhood and adolescence may reduce the demand for mental health visitations in adulthood, hence, reducing the burden on the payors and consumers. Further, as the exposure to the mental health law strengthened, the gap between at-risk subgroups was narrowed or eliminated at the highest policy exposure levels. (Source: Medical Care)
Source: Medical Care - September 16, 2021 Category: Health Management Tags: Original Articles Source Type: research
Hospital Length of Stay Prediction Methods: A Systematic Review
Conclusions:
Methods to predict LOS are more and more elaborate and the assessment of their validity is increasingly rigorous. Reducing heterogeneity in how these methods are used and reported is key to transparency on their performance. (Source: Medical Care)
Source: Medical Care - September 16, 2021 Category: Health Management Tags: Original Articles Source Type: research
Predicting Unplanned Health Care Utilization and Cost: Comparing Patient-reported Outcomes Measurement Information System and Claims
Conclusion:
One-time PROMIS measure data combined with claims data slightly improved predictive model performance compared with claims alone, but likely not to an extent that indicates improved practical utility for payers. (Source: Medical Care)
Source: Medical Care - September 16, 2021 Category: Health Management Tags: Original Articles Source Type: research
Continuity of Nursing Care in Home Health: Impact on Rehospitalization Among Older Adults With Dementia
Conclusions:
Wide variations exist in continuity of nursing care to PWD. Consistency in nurse staff when providing HHC visits to PWD is critical for preventing rehospitalizations. (Source: Medical Care)
Source: Medical Care - September 16, 2021 Category: Health Management Tags: Original Articles Source Type: research
Comparing Web and Mail Protocols for Administering Hospital Consumer Assessment of Healthcare Providers and Systems Surveys
Conclusion:
If web-based protocols are used for HCAHPS surveys, adjustments for a mode of data collection are needed to make results comparable. (Source: Medical Care)
Source: Medical Care - September 16, 2021 Category: Health Management Tags: Patient-centered Care Source Type: research
Racial Disparities in Preventable Adverse Events Attributed to Poor Care Coordination Reported in a National Study of Older US Adults
Conclusions:
Black participants were significantly more likely to report a preventable adverse event attributable to poor care coordination than White participants, independent of demographic and clinical characteristics. (Source: Medical Care)
Source: Medical Care - September 16, 2021 Category: Health Management Tags: Patient-centered Care Source Type: research
Does Women’s Screening History Have Any Impact on Mammography Screening Attendance After Tailored Education?: A Systematic Review and Meta-analysis
Background:
Many ethnic minority women have low attendance at breast cancer screening.
Objectives:
This brief report explores whether women’s screening histories impact mammography screening attendance after tailored education.
Research Design:
Systematic searches were conducted in 5 databases. Randomized controlled trials of educational interventions tailored to ethnic minority women that measured attendance at mammography screening were eligible for inclusion. Data extraction and risk of bias assessment were performed independently. Data were combined in a meta-analysis by using random effects models....
Source: Medical Care - September 16, 2021 Category: Health Management Tags: Brief Reports Source Type: research
Race, Ethnicity, Neighborhood Characteristics, and In-Hospital Coronavirus Disease-2019 Mortality
Conclusions:
Neighborhood disadvantage independently predicted in-hospital COVID-19 mortality. Findings support calls to consider neighborhood measures for vaccine distribution and policies to mitigate disparities. (Source: Medical Care)
Source: Medical Care - September 16, 2021 Category: Health Management Tags: Brief Reports Source Type: research
Substance Use Disorders and Diabetes Care: Lessons From New York Health Homes
Conclusions:
Individuals with both diabetes and SUD may benefit moderately more from care management than those without comorbid SUD. Individuals with both SUD and diabetes who are not enrolled in care management may be missing out on crucial diabetes care. (Source: Medical Care)
Source: Medical Care - September 16, 2021 Category: Health Management Tags: From the States Source Type: research
The Significance of Depression for Short-term Readmission and Mortality After a Pneumonia Admission
Conclusion:
Depression is an independent risk factor for 30-day mortality and readmission in persons who transfer from hospital care to home-based care. (Source: Medical Care)
Source: Medical Care - September 16, 2021 Category: Health Management Tags: Original Articles Source Type: research
