G2TT
来源类型Report
规范类型报告
来源IDRR-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 Evaluation of the SAMHSA Primary and Behavioral Health Care Integration (PBHCI) Grant Program: Final Report (Task 13) | RAND
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
  • Chapter One

    Introduction

  • Chapter Two

    Methods

  • Chapter Three

    Process Evaluation I: Program Structures and Procedures

  • Chapter Four

    Process Evaluation II: Consumers, Care Needs, and Service Utilization

  • Chapter Five

    Comparative Effectiveness Study

  • Chapter Six

    Model Features Evaluation

  • Chapter Seven

    Summary, Conclusions, and Implications

主题Community-Based Health Care ; Health and Wellness Promotion ; Integrated Care ; Mental Health Treatment ; Primary Care ; Substance Use Disorder Prevention ; Substance Use Disorders
URLhttps://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.
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