TY - JOUR
KW - Cross-Sectional Studies
KW - Databases, Factual
KW - Delivery of Health Care, Integrated
KW - Female
KW - Humans
KW - Male
KW - Mental Disorders/rehabilitation
KW - Middle Aged
KW - Quality of Life
KW - Severity of Illness Index
AU - N. W. Bowersox
AU - Z. Lai
AU - A. M. Kilbourne
A1 - 
AB - OBJECTIVE: The goal of this study was to evaluate relationships between recovery-supportive and integrated care features with health-related quality of life for veterans with serious mental illness. METHODS: Data were utilized from several national Veterans Affairs (VA) databases for 2,394 patients with serious mental illness from 107 VA sites. Regressions evaluated relationships between health-related quality of life and care features. RESULTS: Higher quality of life in regard to general health was associated with sites that offered peer support (beta=1.79, p<.01) and with patients' increased understanding of their treatment (beta=.80, p<.01), whereas lower quality of life was associated with sites with colocated general medical and mental health care providers (beta=-1.37, p<.05) and family psychoeducation (beta=-1.41, p<.05). Care at sites with vocational rehabilitation (beta=1.38, p<.05), peer support (beta=1.85, p<.05), and colocated providers (beta=1.60, p<.05) and patients' increased understanding of care (beta=.82, p<.01) were all associated with increased mental health quality of life, whereas reduced mental health quality of life was associated with care at sites with social skills training (beta=-1.48, p<.05) or increased levels of care collaboration between primary care and mental health providers (beta=-.27, p<.01). CONCLUSIONS: Recovery-oriented care might be associated with increased health-related quality of life among patients with serious mental illness.
BT - Psychiatric services (Washington, D.C.)
C5 - Healthcare Disparities
CP - 11
CY - United States
DO - 10.1176/appi.ps.201100505
IS - 11
JF - Psychiatric services (Washington, D.C.)
N2 - OBJECTIVE: The goal of this study was to evaluate relationships between recovery-supportive and integrated care features with health-related quality of life for veterans with serious mental illness. METHODS: Data were utilized from several national Veterans Affairs (VA) databases for 2,394 patients with serious mental illness from 107 VA sites. Regressions evaluated relationships between health-related quality of life and care features. RESULTS: Higher quality of life in regard to general health was associated with sites that offered peer support (beta=1.79, p<.01) and with patients' increased understanding of their treatment (beta=.80, p<.01), whereas lower quality of life was associated with sites with colocated general medical and mental health care providers (beta=-1.37, p<.05) and family psychoeducation (beta=-1.41, p<.05). Care at sites with vocational rehabilitation (beta=1.38, p<.05), peer support (beta=1.85, p<.05), and colocated providers (beta=1.60, p<.05) and patients' increased understanding of care (beta=.82, p<.01) were all associated with increased mental health quality of life, whereas reduced mental health quality of life was associated with care at sites with social skills training (beta=-1.48, p<.05) or increased levels of care collaboration between primary care and mental health providers (beta=-.27, p<.01). CONCLUSIONS: Recovery-oriented care might be associated with increased health-related quality of life among patients with serious mental illness.
PP - United States
PY - 2012
SN - 1557-9700; 1075-2730
SP - 1142
EP - 1145
EP - 
T1 - Integrated care, recovery-consistent care features, and quality of life for patients with serious mental illness
T2 - Psychiatric services (Washington, D.C.)
TI - Integrated care, recovery-consistent care features, and quality of life for patients with serious mental illness
U1 - Healthcare Disparities
U2 - 23117513
U3 - 10.1176/appi.ps.201100505
VL - 63
VO - 1557-9700; 1075-2730
Y1 - 2012
ER -