TY - JOUR
KW - Adolescent
KW - Adult
KW - Health Services Accessibility
KW - Humans
KW - Mental Health
KW - Middle Aged
KW - Psychiatry
KW - United States
KW - United States Health Resources and Services Administration
KW - Workforce
KW - Young Adult
KW - Mental illness and alcohol/drug abuse
KW - primary care
AU - A. G. Bonilla
AU - N. Pourat
AU - E. Chuang
AU - S. Ettner
AU - B. Zima
AU - X. Chen
AU - C. Lu
AU - H. Hoang
AU - B . Y. Hair
AU - J. Bolton
AU - A. Sripipatana
A1 - 
AB - OBJECTIVE: The study objective was to examine the association between mental health staffing at health centers funded by the Health Resources and Services Administration (HRSA) and patients' receipt of mental health treatment. METHODS: Data were from the 2014 HRSA-funded Health Center Patient Survey and the 2013 Uniform Data System. Colocation of any mental health staff, including psychiatrists, psychologists, and other licensed staff, was examined. The outcomes of interest were whether a patient received any mental treatment and received any such treatment on site (at the health center). Analyses were conducted with multilevel generalized structural equation logistic regression models for 4,575 patients ages 18-64. RESULTS: Patients attending health centers with at least one mental health full-time equivalent (FTE) per 2,000 patients had a higher predicted probability of receiving mental health treatment (32%) compared with those attending centers with fewer than one such FTE (24%) or no such staffing (22%). Among patients who received this treatment, those at health centers with no staffing had a significantly lower predicted probability of receiving such treatment on site (28%), compared with patients at health centers with fewer than one such FTE (49%) and with at least one such FTE (65%). The predicted probability of receiving such treatment on site was significantly higher if there was a colocated psychiatrist versus no psychiatrist (58% versus 40%). CONCLUSIONS: Colocating mental health staff at health centers increases the probability of patients' access to such treatment on site as well as from off-site providers.
AD - Department of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).; Department of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).; Department of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bur(TRUNCATED)
BT - Psychiatric services (Washington, D.C.)
C5 - Education & Workforce
CP - 9
DO - 10.1176/appi.ps.202000337
IS - 9
JF - Psychiatric services (Washington, D.C.)
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: The study objective was to examine the association between mental health staffing at health centers funded by the Health Resources and Services Administration (HRSA) and patients' receipt of mental health treatment. METHODS: Data were from the 2014 HRSA-funded Health Center Patient Survey and the 2013 Uniform Data System. Colocation of any mental health staff, including psychiatrists, psychologists, and other licensed staff, was examined. The outcomes of interest were whether a patient received any mental treatment and received any such treatment on site (at the health center). Analyses were conducted with multilevel generalized structural equation logistic regression models for 4,575 patients ages 18-64. RESULTS: Patients attending health centers with at least one mental health full-time equivalent (FTE) per 2,000 patients had a higher predicted probability of receiving mental health treatment (32%) compared with those attending centers with fewer than one such FTE (24%) or no such staffing (22%). Among patients who received this treatment, those at health centers with no staffing had a significantly lower predicted probability of receiving such treatment on site (28%), compared with patients at health centers with fewer than one such FTE (49%) and with at least one such FTE (65%). The predicted probability of receiving such treatment on site was significantly higher if there was a colocated psychiatrist versus no psychiatrist (58% versus 40%). CONCLUSIONS: Colocating mental health staff at health centers increases the probability of patients' access to such treatment on site as well as from off-site providers.
PY - 2021
SN - 1557-9700; 1075-2730; 1075-2730
SP - 1018
EP - 1025
EP - 
T1 - Mental Health Staffing at HRSA-Funded Health Centers May Improve Access to Care
T2 - Psychiatric services (Washington, D.C.)
TI - Mental Health Staffing at HRSA-Funded Health Centers May Improve Access to Care
U1 - Education & Workforce
U2 - 34074146
U3 - 10.1176/appi.ps.202000337
VL - 72
VO - 1557-9700; 1075-2730; 1075-2730
Y1 - 2021
Y2 - Sep 1
ER -