Gateway to Think Tanks
来源类型 | Report |
规范类型 | 报告 |
来源ID | RR-546-DHHS |
Evaluation of the SAMHSA Primary and Behavioral Health Care Integration (PBHCI) Grant Program: Final Report (Task 13) | |
Deborah M. Scharf; Nicole K. Eberhart; Nicole Schmidt Hackbarth; Marcela Horvitz-Lennon; Robin L. Beckman; Bing Han; Susan L. Lovejoy; Harold Alan Pincus; M. Audrey Burnam | |
发表日期 | 2014-04-21 |
出版年 | 2014 |
页码 | 139 |
语种 | 英语 |
结论 |
|
摘要 | Excess morbidity and mortality in persons with serious mental illness is a public health crisis. Numerous factors contribute to this health disparity, including illness and treatment-related factors, socioeconomic and lifestyle-related factors, and limited access to and poor quality of general medical care. Primary and Behavioral Health Care Integration (PBHCI), one of the Substance Abuse and Mental Health Services Administration's service grant programs, is intended to improve the overall wellness and physical health status of people with serious mental illness, including individuals with co-occurring substance use disorders, by making available an array of coordinated primary care services in community mental health and other community-based behavioral health settings where the population already receives care. This report describes the results of a RAND Corporation evaluation of the PBHCI grants program. The evaluation was designed to understand PBHCI implementation strategies and processes, whether the program leads to improvements in outcomes, and which program models and/or model features lead to better program processes and consumer outcomes. Results of the evaluation showed that PBHCI grantee programs were diverse, varying in their structures, procedures, and the extent to which primary and behavioral health care was integrated at the program level. Overall, PBHCI programs also served many consumers with high rates of physical health care needs, although total program enrollment was lower than expected. The results of a small, comparative effectiveness study showed that consumers served at PBHCI clinics (compared to those served at matched control clinics) showed improvements on some (e.g., markers of dyslipidemia, hypertension, diabetes) but not all of the physical health indicators studied (e.g., smoking, weight). Finally, we found that program features, such as clinic hours, regular staff meetings, and the degree of service integration, increased consumer access to integrated care, but that access to integrated care was not directly associated with improvements in physical health. Implications of the study results for programs and the broader field, plus options for future PBHCI-related research are discussed. |
目录 |
|
主题 | Community-Based Health Care ; Health and Wellness Promotion ; Integrated Care ; Mental Health Treatment ; Primary Care ; Substance Use Disorder Prevention ; Substance Use Disorders |
URL | https://www.rand.org/pubs/research_reports/RR546.html |
来源智库 | RAND Corporation (United States) |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/522458 |
推荐引用方式 GB/T 7714 | Deborah M. Scharf,Nicole K. Eberhart,Nicole Schmidt Hackbarth,et al. Evaluation of the SAMHSA Primary and Behavioral Health Care Integration (PBHCI) Grant Program: Final Report (Task 13). 2014. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR546.pdf(1708KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
1495316367688.jpg(4KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | ![]() 浏览 |
除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。