TY - JOUR
KW - Ambulatory Care
KW - Humans
KW - Primary Health Care
KW - Referral and Consultation
KW - Triage
KW - collaborative care
KW - integrated care
KW - primary care
KW - Referrals
AU - A. A. Song
AU - D. W. Oslin
AU - C. B. Wolk
A1 - 
AB - OBJECTIVE: This study examined whether documented disparities in access to behavioral health specialty care persisted in a novel integrated primary care model situated in a large health system when triage and referral management supports were provided by a centralized resource center for patients with behavioral health needs. METHODS: Patients triaged and referred to specialty behavioral health care who did or did not attend a specialty care visit (N=1,450) were compared in terms of various demographic and clinical characteristics by using binary logistic regression. RESULTS: Among patients with attendance data, financially unstable individuals were more likely than financially stable counterparts to miss their first appointment with a specialty behavioral health provider after referral from primary care. Previously documented attendance disparities based on race, ethnicity, and illness severity were not observed. CONCLUSIONS: These findings can inform targeted strategies to increase attendance among patients with financial insecurity and reduce disparities in outpatient behavioral health services.
AD - Department of Psychiatry, Perelman School of Medicine (Song, Oslin, Wolk) and Leonard Davis Institute for Health Economics (Wolk), University of Pennsylvania, Philadelphia; Mental Illness Research, Education, and Clinical Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia (Oslin).; Department of Psychiatry, Perelman School of Medicine (Song, Oslin, Wolk) and Leonard Davis Institute for Health Economics (Wolk), University of Pennsylvania, Philadelphia; Mental Illness Research, Education, and Clinical Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia (Oslin).; Department of Psychiatry, Perelman School of Medicine (Song, Oslin, Wolk) and Leonard Davis Institute for Health Economics (Wolk), University of Pennsylvania, Philadelphia; Mental Illness Research, Education, and Clinical Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia (Oslin).
BT - Psychiatric services (Washington, D.C.)
C5 - Healthcare Disparities
CP - 12
DO - 10.1176/appi.ps.202000535
IS - 12
JF - Psychiatric services (Washington, D.C.)
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: This study examined whether documented disparities in access to behavioral health specialty care persisted in a novel integrated primary care model situated in a large health system when triage and referral management supports were provided by a centralized resource center for patients with behavioral health needs. METHODS: Patients triaged and referred to specialty behavioral health care who did or did not attend a specialty care visit (N=1,450) were compared in terms of various demographic and clinical characteristics by using binary logistic regression. RESULTS: Among patients with attendance data, financially unstable individuals were more likely than financially stable counterparts to miss their first appointment with a specialty behavioral health provider after referral from primary care. Previously documented attendance disparities based on race, ethnicity, and illness severity were not observed. CONCLUSIONS: These findings can inform targeted strategies to increase attendance among patients with financial insecurity and reduce disparities in outpatient behavioral health services.
PY - 2021
SN - 1557-9700; 1075-2730
SP - 1455
EP - 1459
EP - 
T1 - Characteristics of Patients Who Attended Behavioral Health Services After Primary Care Referral With Referral Management Support
T2 - Psychiatric services (Washington, D.C.)
TI - Characteristics of Patients Who Attended Behavioral Health Services After Primary Care Referral With Referral Management Support
U1 - Healthcare Disparities
U2 - 34074145
U3 - 10.1176/appi.ps.202000535
VL - 72
VO - 1557-9700; 1075-2730
Y1 - 2021
Y2 - Dec 1
ER -