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Improving Outcomes of Care for HRSA-Funded Health Center Patients Who Have Mental Health Conditions and Substance Use Disorders

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Abstract

The rising prevalence of mental health conditions and substance use disorders (MH/SUD) underscores the important role of health centers (HCs) in caring for low-income and uninsured MH/SUD patients. This study used the 2014 Health Center Patient Survey and 2014 Uniform Data System to determine the independent association between delivery of MH/SUD integration and related interventions to patients that reported a MH/SUD condition (n=2714) with the number of HC visits, emergency department (ED) visits, and hospitalizations last year. Results showed that health education was associated with fewer predicted ED visits (1.8 vs. 2.3) and lower likelihood of hospitalizations (16% vs. 24%) among MH patients. Medical enabling services was associated with lower rates of ED visits (0.3 vs.1.9) and hospitalizations (< 1% vs. 13%) among SUD patients. The results indicate the utility of integration and related intervention services in primary care settings to improve service use and reduce ED and hospitalization among MH/SUD patients.

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Authors and Affiliations

  1. UCLA Center for Health Policy Research, 10960 Wilshire Blvd., Suite 1550, Los Angeles, CA, 90024, USA

    Nadereh Pourat PhD, Xiao Chen PhD & Weihao Zhou MS

  2. Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA

    Nadereh Pourat PhD

  3. Santa Clara County Public Health Department, 976 Lenzen Ave, San Jose, CA, 95126, USA

    Christopher Lee MPH

  4. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Primary Health Care, U.S., Rockville, MD, USA

    Marlon Daniel MPH, MHA, Hank Hoang PharmD & Alek Sripipatana PhD

Authors
  1. Nadereh Pourat PhD
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  2. Xiao Chen PhD
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  4. Weihao Zhou MS
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Correspondence to Nadereh Pourat PhD.

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Appendix

Appendix

Table 4 Measures construction
Full size table
Table 5 Regression models of association of health care utilization by mental health condition/substance use disorder and receipt of care management and support services at health centers
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Pourat, N., Chen, X., Lee, C. et al. Improving Outcomes of Care for HRSA-Funded Health Center Patients Who Have Mental Health Conditions and Substance Use Disorders. J Behav Health Serv Res 47, 168–188 (2020). https://doi.org/10.1007/s11414-019-09665-5

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