Access to Primary Care for Homeless Veterans with Serious Mental Illness or Substance Abuse: A Follow-up Evaluation of Co-Located Primary Care and Homeless Social Services
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To examine the hypothesis that a demonstration clinic integrating homeless, primary care, and mental health services for homeless veterans with serious mental illness or substance abuse would improve medical health care access and physical health status. A quasi-experimental design comparing a ‘usual VA care’ group before the demonstration clinic opened (N = 130) and the ‘integrated care’ group (N = 130). Regression models indicated that the integrated care group was more rapidly enrolled in primary care, received more prevention services and primary care visits, and fewer emergency department visits, and was not different in inpatient utilization or in physical health status over 18 months. The demonstration clinic improved access to primary care services and reduced emergency services but did not improve perceived physical health status over 18 months. Further research is needed to determine generalizability and longer term effects.
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- Access to Primary Care for Homeless Veterans with Serious Mental Illness or Substance Abuse: A Follow-up Evaluation of Co-Located Primary Care and Homeless Social Services
Administration and Policy in Mental Health and Mental Health Services Research
Volume 36, Issue 4 , pp 255-264
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Primary care access
- Service co-location
- Service integration
- Author Affiliations
- 1. Department of Veterans Affairs Northeast Program Evaluation Center (NEPEC), Los Angeles, CA, USA
- 2. UCLA School of Public Policy and Social Research, Los Angeles, CA, USA
- 3. Healthcare for Reentry Veterans Program, VA West Los Angeles Healthcare Center, Building 206, Room 109, 11301 Wilshire Blvd., Los Angeles, CA, 90073, USA
- 4. Department of Family Medicine, David Geffen School of Medicine, University of California, 10880 Wilshire Blvd. Suite 1800, Los Angeles, CA, 90024, USA
- 5. Department of Veterans Affairs New England Mental Illness Research and Education Center (MIRECC), West Haven, CT, USA
- 6. Department of Psychiatry, The Yale University School of Medicine, 950 Campbell Ave., West Haven, CT, 06516, USA