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Impact of a Mental Health Based Primary Care Program on Quality of Physical Health Care

  • Joshua Breslau
  • Emily Leckman-Westin
  • Hao Yu
  • Bing Han
  • Riti Pritam
  • Diana Guarasi
  • Marcela Horvitz-Lennon
  • Deborah M. Scharf
  • Harold A. Pincus
  • Molly T. Finnerty
Original Article

Abstract

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.

Keywords

Serious mental illness Integrated care Quality of care Primary care 

Notes

Funding

This research was supported by a grant from the National Institute of Mental Health (R01MH102379).

Compliance with Ethical Standards

Conflict of interest

The authors have no conflicts of interest to report.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Study procedures were approved by the IRBs of the RAND Corporation and the New York State Office of Mental Health.

Supplementary material

10488_2017_822_MOESM1_ESM.pptx (375 kb)
Supplementary material 1 (PPTX 375 KB)

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Joshua Breslau
    • 1
  • Emily Leckman-Westin
    • 2
  • Hao Yu
    • 1
  • Bing Han
    • 3
  • Riti Pritam
    • 2
  • Diana Guarasi
    • 2
  • Marcela Horvitz-Lennon
    • 4
  • Deborah M. Scharf
    • 5
  • Harold A. Pincus
    • 6
  • Molly T. Finnerty
    • 7
  1. 1.RAND CorporationPittsburghUSA
  2. 2.New York State Office of Mental HealthAlbanyUSA
  3. 3.RAND CorporationSanta MonicaUSA
  4. 4.RAND Corporation Boston MABostonUSA
  5. 5.Faculty of EducationLakehead UniversityOrilliaCanada
  6. 6.Department of PsychiatryColumbia UniversityNew YorkUSA
  7. 7.New York State Office of Mental HealthNew YorkUSA

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