TY - JOUR
KW - Adult
KW - Aged
KW - Delivery of Health Care, Integrated/organization & administration
KW - Family Practice/organization & administration
KW - Female
KW - Health Services Accessibility
KW - Hospitalization
KW - Humans
KW - Interviews as Topic
KW - Male
KW - Mental Disorders/therapy
KW - Mental Health Services/utilization
KW - New York
KW - Patient Acceptance of Health Care/statistics & numerical data
KW - Primary Health Care/organization & administration
KW - Qualitative Research
KW - Severity of Illness Index
AU - P. Pastore
AU - K. S. Griswold
AU - G. G. Homish
AU - R. Watkins
A1 - 
AB - Individuals with severe mental health disorders experience difficulty maneuvering the complexity encountered in primary care (PC). This study describes the impact of three components of primary care practice enhancements on: changes in missed appointments, changes in health outcomes, number of ER visits and hospitalization days, and perceptions of integrated care. Missed PC appointments: baseline to post practice enhancement changed from 42 to 11, statistically significant (p < .01). Changes in health outcomes: SF-12 scores had no significant change nor did ER utilization and hospitalization; however, outcomes are low-base rate and assessment period was short. Integration of care: liaison was most helpful in accessing and navigating PC, educating and reconciling medication lists. Behavioral health staff voiced relief regarding access and felt better informed. Strategies focusing on increasing communication, staff education, and reducing barriers to access and receipt of PC may improve integration and continuity of care.
BT - Community mental health journal
C5 - Education & Workforce
CP - 2
CY - United States
DO - 10.1007/s10597-012-9521-2
IS - 2
JF - Community mental health journal
N2 - Individuals with severe mental health disorders experience difficulty maneuvering the complexity encountered in primary care (PC). This study describes the impact of three components of primary care practice enhancements on: changes in missed appointments, changes in health outcomes, number of ER visits and hospitalization days, and perceptions of integrated care. Missed PC appointments: baseline to post practice enhancement changed from 42 to 11, statistically significant (p < .01). Changes in health outcomes: SF-12 scores had no significant change nor did ER utilization and hospitalization; however, outcomes are low-base rate and assessment period was short. Integration of care: liaison was most helpful in accessing and navigating PC, educating and reconciling medication lists. Behavioral health staff voiced relief regarding access and felt better informed. Strategies focusing on increasing communication, staff education, and reducing barriers to access and receipt of PC may improve integration and continuity of care.
PP - United States
PY - 2013
SN - 1573-2789; 0010-3853
SP - 172
EP - 177
EP - 
T1 - Family practice enhancements for patients with severe mental illness
T2 - Community mental health journal
TI - Family practice enhancements for patients with severe mental illness
U1 - Education & Workforce
U2 - 22825567
U3 - 10.1007/s10597-012-9521-2
VL - 49
VO - 1573-2789; 0010-3853
Y1 - 2013
ER -