TY - JOUR
KW - Humans
KW - Mental Disorders/therapy
KW - Outpatients
KW - Primary Health Care
KW - Retrospective Studies
KW - Safety-net Providers
KW - behavioral health
KW - continuity of care
KW - Healthcare integration
KW - primary care
KW - Reverse integration
KW - severe mental illness
AU - J. P. Zatloff
AU - O. Gupton
AU - M. C. Ward
A1 - 
AB - Individuals with severe mental illness are at a higher risk for medical illness and premature death and yet receive poorer quality healthcare. Often mental healthcare is the only care this population receives, thus models of integration are being explored. This study examined medical outcomes and care utilization patterns among patients at an outpatient behavioral health center where primary care was integrated with psychiatric and behavioral healthcare. A retrospective chart review of patients seen at the clinic both for mental and primary healthcare was performed and 147 patients were monitored over the course of one year. While medical outcome changes were not significant in the year after enrollment, primary care visits did increase, and emergency department visits decreased over the year analyzed. Decreased emergency department visits and increased attendance at primary care visits suggests this model of integration allows patients access to continuity of care and primary care services.
AD - Behavioral Health Outpatient Center, Grady Health System, 10 Park Place NE, Atlanta, GA, 30303, USA. jzatloff@alumni.emory.edu.; Behavioral Health Outpatient Center, Grady Health System, 10 Park Place NE, Atlanta, GA, 30303, USA.; Behavioral Health Outpatient Center, Grady Health System, 10 Park Place NE, Atlanta, GA, 30303, USA.
BT - Community mental health journal
C5 - Financing & Sustainability; Healthcare Disparities
CP - 2
DO - 10.1007/s10597-020-00643-2
IS - 2
JF - Community mental health journal
LA - eng
M1 - Journal Article
N2 - Individuals with severe mental illness are at a higher risk for medical illness and premature death and yet receive poorer quality healthcare. Often mental healthcare is the only care this population receives, thus models of integration are being explored. This study examined medical outcomes and care utilization patterns among patients at an outpatient behavioral health center where primary care was integrated with psychiatric and behavioral healthcare. A retrospective chart review of patients seen at the clinic both for mental and primary healthcare was performed and 147 patients were monitored over the course of one year. While medical outcome changes were not significant in the year after enrollment, primary care visits did increase, and emergency department visits decreased over the year analyzed. Decreased emergency department visits and increased attendance at primary care visits suggests this model of integration allows patients access to continuity of care and primary care services.
PY - 2021
SN - 1573-2789; 0010-3853
SP - 262
EP - 267
EP - 
T1 - Reverse Integration Pilot in a Public Safety-Net Hospital's Outpatient Behavioral Health Clinic
T2 - Community mental health journal
TI - Reverse Integration Pilot in a Public Safety-Net Hospital's Outpatient Behavioral Health Clinic
U1 - Financing & Sustainability; Healthcare Disparities
U2 - 32448933
U3 - 10.1007/s10597-020-00643-2
VL - 57
VO - 1573-2789; 0010-3853
Y1 - 2021
Y2 - Feb
ER -