TY - JOUR
AU - N. Pourat
AU - X. Chen
AU - C. Lee
AU - W. Zhou
AU - M. Daniel
AU - H. Hoang
AU - A. Sripipatana
A1 - 
AB - 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.
AD - UCLA Center for Health Policy Research, 10960 Wilshire Blvd., Suite 1550, Los Angeles, CA, 90024, USA. pourat@ucla.edu.; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA. pourat@ucla.edu.; UCLA Center for Health Policy Research, 10960 Wilshire Blvd., Suite 1550, Los Angeles, CA, 90024, USA.; Santa Clara County Public Health Department, 976 Lenzen Ave, San Jose, CA, 95126, USA.; UCLA Center for Health Policy Research, 10960 Wilshire Blvd., Suite 1550, Los Angeles, CA, 90024, USA.; Department of Health and Human Services, Health Resources and Services Administration, Bureau of Primary Health Care, U.S., Rockville, MD, USA.; Department of Health and Human Services, Health Resources and Services Administration, Bureau of Primary Health Care, U.S., Rockville, MD, USA.; Department of Health and Human Services, Health Resources and Services Administration, Bureau of Primary Health Care, U.S., Rockville, MD, USA.
BT - The journal of behavioral health services & research
C5 - Financing & Sustainability; Healthcare Disparities; Opioids & Substance Use
CP - 2
CY - United States
DO - 10.1007/s11414-019-09665-5
IS - 2
JF - The journal of behavioral health services & research
LA - eng
M1 - Journal Article
N2 - 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.
PP - United States
PY - 2020
SN - 1556-3308; 1094-3412
SP - 168
EP - 188
EP - 
T1 - Improving Outcomes of Care for HRSA-Funded Health Center Patients Who Have Mental Health Conditions and Substance Use Disorders
T2 - The journal of behavioral health services & research
TI - Improving Outcomes of Care for HRSA-Funded Health Center Patients Who Have Mental Health Conditions and Substance Use Disorders
U1 - Financing & Sustainability; Healthcare Disparities; Opioids & Substance Use
U2 - 31214934
U3 - 10.1007/s11414-019-09665-5
VL - 47
VO - 1556-3308; 1094-3412
Y1 - 2020
Y2 - Apr
ER -