TY - JOUR
KW - Cancer
KW - prevention
KW - cancer screening
KW - care coordination
KW - Health Home
KW - serious mental illness
AU - K. A. Murphy
AU - G. L. Daumit
AU - S. N. Bandara
AU - E. M. Stone
AU - A. Kennedy-Hendricks
AU - E. A. Stuart
AU - C. E. Pollack
AU - E. E. McGinty
A1 - 
AB - OBJECTIVE: This study evaluated the association of the Maryland Medicaid behavioral health home (BHH) integrated care program with cancer screening. METHODS: Using administrative claims data from October 2012 to September 2016, the authors measured cancer screening among 12,176 adults in Maryland's psychiatric rehabilitation program who were eligible for cervical (N=6,811), breast (N=1,658), and colorectal (N=3,430) cancer screening. Marginal structural modeling was used to examine the association between receipt of annual cancer screening and whether participants had ever enrolled in a BHH (enrolled: N=3,298, 27%; not enrolled: N=8,878, 73%). RESULTS: Relative to nonenrollment, BHH enrollment was associated with increased screening for cervical and breast cancer but not for colorectal cancer. Predicted annual rates remained low, even in BHHs. CONCLUSIONS: Despite estimates of improvements in cervical and breast cancer screening after BHH implementation, cancer screening rates remained suboptimal. Broader cancer screening interventions are needed to improve cancer screening for people with mental illness.
AD - Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (Murphy, Daumit, Stone, Pollack); Department of Mental Health (Daumit, Stuart, McGinty), Department of Health Policy and Management (Daumit, Bandara, Kennedy-Hendricks, Stuart, Pollack, McGinty), and Center for Mental Health and Addiction Policy Research (Bandara, Kennedy-Hendricks, Stuart, McGinty), Johns Hopkins Bloomberg School of Public Health, Baltimore.; Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (Murphy, Daumit, Stone, Pollack); Department of Mental Health (Daumit, Stuart, McGinty), Department of Health Policy and Management (Daumit, Bandara, Kennedy-Hendricks, Stuart, Pollack, McGinty), and Center for Mental Health and Addiction Policy Research (Bandara, Kennedy-Hendricks, Stuart, McGinty), Johns Hopkins Bloomberg School of Public Health, Baltimore.; Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (Murphy, Daumit, Stone, Pollack); Department of Mental Health (Daumit, Stuart, McGinty), Department of Health Policy and Management (Daumit, Bandara, Kennedy-Hendricks, Stuart, Pollack, McGinty), and Center for Mental Health and Addiction Policy Research (Bandara, Kennedy-Hendricks, Stuart, McGinty), Johns Hopkins Bloomberg School of Public Health, Baltimore.; Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (Murphy, Daumit, Stone, Pollack); Department of Mental Health (Daumit, Stuart, McGinty), Department of Health Policy and Management (Daumit, Bandara, Kennedy-Hendricks, Stuart, Pollack, McGinty), and Center for Mental Health and Addiction Policy Research (Bandara, Kennedy-Hendricks, Stuart, McGinty), Johns Hopkins Bloomberg School of Public Health, Baltimore.; Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (Murphy, Daumit, Stone, Pollack); Department of Mental Health (Daumit, Stuart, McGinty), Department of Health Policy and M(TRUNCATED)
BT - Psychiatric services (Washington, D.C.)
C5 - Healthcare Disparities; Medical Home
CY - United States
DO - 10.1176/appi.ps.201900299
JF - Psychiatric services (Washington, D.C.)
M1 - Journal Article
N2 - OBJECTIVE: This study evaluated the association of the Maryland Medicaid behavioral health home (BHH) integrated care program with cancer screening. METHODS: Using administrative claims data from October 2012 to September 2016, the authors measured cancer screening among 12,176 adults in Maryland's psychiatric rehabilitation program who were eligible for cervical (N=6,811), breast (N=1,658), and colorectal (N=3,430) cancer screening. Marginal structural modeling was used to examine the association between receipt of annual cancer screening and whether participants had ever enrolled in a BHH (enrolled: N=3,298, 27%; not enrolled: N=8,878, 73%). RESULTS: Relative to nonenrollment, BHH enrollment was associated with increased screening for cervical and breast cancer but not for colorectal cancer. Predicted annual rates remained low, even in BHHs. CONCLUSIONS: Despite estimates of improvements in cervical and breast cancer screening after BHH implementation, cancer screening rates remained suboptimal. Broader cancer screening interventions are needed to improve cancer screening for people with mental illness.
PP - United States
PY - 2020
SN - 1557-9700; 1075-2730
T1 - Association Between the Maryland Medicaid Behavioral Health Home Program and Cancer Screening in People With Serious Mental Illness
T2 - Psychiatric services (Washington, D.C.)
TI - Association Between the Maryland Medicaid Behavioral Health Home Program and Cancer Screening in People With Serious Mental Illness
U1 - Healthcare Disparities; Medical Home
U2 - 32019432
U3 - 10.1176/appi.ps.201900299
VO - 1557-9700; 1075-2730
Y1 - 2020
Y2 - Feb 5
ER -