TY - JOUR
KW - Adult
KW - Community Mental Health Services/methods
KW - Delivery of Health Care, Integrated/methods
KW - Humans
KW - Interdisciplinary Communication
KW - Mental Disorders/therapy
KW - Primary Health Care/methods
KW - United States
KW - assertive community treatment
KW - Housing First
KW - integrated care
KW - primary care
AU - B. F. Henwood
AU - E. Siantz
AU - D. R. Hrouda
AU - D. Innes-Gomberg
AU - T. P. Gilmer
A1 - 
AB - Assertive community treatment (ACT) has the potential to serve as a medical home for adults with serious mental illness, a population that experiences some of the most significant health disparities in the United States. Using site visit methodology, the authors describe partnerships that were created between five ACT programs and federally qualified health centers (FQHCs) to provide integrated behavioral health and primary care. The authors examined rates of screening for common chronic conditions. The programs used three distinct approaches: two programs colocated ACT teams at an FQHC, two programs employed primary care providers who split their time between the FQHC and the ACT program, and one program embedded a primary care provider within the ACT team. Effective communication between staffs may be more important than type of partnership in determining integration success.
AD - Dr. Henwood is with the Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles. Dr. Siantz and Dr. Gilmer are with the Department of Family Medicine and Public Health, University of California, San Diego, La Jolla. Dr. Hrouda is with the Department of Psychiatry, Northeast Ohio Medical University, Rootstown, Ohio. Dr. Innes-Gomberg is with the Los Angeles County Department of Mental Health, Los Angeles. Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.; Dr. Henwood is with the Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles. Dr. Siantz and Dr. Gilmer are with the Department of Family Medicine and Public Health, University of California, San Diego, La Jolla. Dr. Hrouda is with the Department of Psychiatry, Northeast Ohio Medical University, Rootstown, Ohio. Dr. Innes-Gomberg is with the Los Angeles County Department of Mental Health, Los Angeles. Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.; Dr. Henwood is with the Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles. Dr. Siantz and Dr. Gilmer are with the Department of Family Medicine and Public Health, University of California, San Diego, La Jolla. Dr. Hrouda is with the Department of Psychiatry, Northeast Ohio Medical University, Rootstown, Ohio. Dr. Innes-Gomberg is with the Los Angeles County Department of Mental Health, Los Angeles. Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.; Dr. Henwood is with the Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles. Dr. Siantz and Dr. Gilmer are with the Department of Family Medicine and Public Health, University of California, San Diego, La Jolla. Dr. Hrouda is with the Department of Psychiatry, Northeast Ohio Medical University, Rootstown, Ohio. Dr. Innes-Gomberg is with the Los(TRUNCATED)
BT - Psychiatric services (Washington, D.C.)
C5 - Healthcare Disparities; Medical Home
CP - 2
CY - United States
DO - 10.1176/appi.ps.201700009
IS - 2
JF - Psychiatric services (Washington, D.C.)
M1 - Journal Article
N2 - Assertive community treatment (ACT) has the potential to serve as a medical home for adults with serious mental illness, a population that experiences some of the most significant health disparities in the United States. Using site visit methodology, the authors describe partnerships that were created between five ACT programs and federally qualified health centers (FQHCs) to provide integrated behavioral health and primary care. The authors examined rates of screening for common chronic conditions. The programs used three distinct approaches: two programs colocated ACT teams at an FQHC, two programs employed primary care providers who split their time between the FQHC and the ACT program, and one program embedded a primary care provider within the ACT team. Effective communication between staffs may be more important than type of partnership in determining integration success.
PP - United States
PY - 2018
SN - 1557-9700; 1075-2730
SP - 133
EP - 135
EP - 
T1 - Integrated Primary Care in Assertive Community Treatment
T2 - Psychiatric services (Washington, D.C.)
TI - Integrated Primary Care in Assertive Community Treatment
U1 - Healthcare Disparities; Medical Home
U2 - 29241436
U3 - 10.1176/appi.ps.201700009
VL - 69
VO - 1557-9700; 1075-2730
Y1 - 2018
Y2 - Feb 1
ER -