G2TT
来源类型Report
规范类型报告
来源IDRR-670-NYSHF
An Examination of New York State's Integrated Primary and Mental Health Care Services for Adults with Serious Mental Illness
Deborah M. Scharf; Joshua Breslau; Nicole Schmidt Hackbarth; Daniela Kusuke; B. Lynette Staplefoote; Harold Alan Pincus
发表日期2014-09-18
出版年2014
页码173
语种英语
结论 An Examination of New York State's Integrated Primary and Mental Health Care Services for Adults with Serious Mental Illness | RAND
摘要

The poor physical health of adults with serious mental illnesses is a public health crisis. Greater integration of mental health and primary medical care services at the clinic and system levels could address this need. In New York state, there are several ongoing initiatives that promote integrated care for adults with serious mental illness, provided or coordinated by community mental health center staff. This report examines three initiatives.

,

Data were collected by RAND through site visits and surveys of mental health clinic administrators and associated professionals. Results showed that Primary and Behavioral Health Care Integration grantees developed infrastructure that supported a broad scope of primary and preventive health care services; these broad changes appeared to contribute to clinicwide culture shifts toward integration and shared accountability for consumers' "whole person" health. Clinics participating in the Medicaid Incentive tended to implement only those services for which they could bill, which resulted in newly identified consumer physical health care needs but did not help consumers to connect to physical health care services. Finally, while administrators and providers were optimistic that Medicaid Health Homes have potential to improve access to care for adults with serious mental illness, the newness of the initiative made it difficult to assess the degree to which Health Home networks would meet these goals. We conclude with recommendations to state policymakers, clinical providers, and technical assistance providers and recommendations for future research, all designed to strengthen New York state's integrated care initiatives for adults with serious mental illness.

目录
  • Chapter One

    Introduction

  • Chapter Two

    Site Visits

  • Chapter Three

    Surveys

  • Chapter Four

    Summary and Recommendations

  • Appendix A

    Standard Framework for Levels of Integrated Health Care

  • Appendix B

    Brief Summary of Forthcoming Federal and State Initiatives Impacting Integrated Care

  • Appendix C

    Distribution of Program Survey Respondents

  • Appendix D

    New York State Integrated Physical and Behavioral Health Care Provider Survey

  • Appendix E

    New York State Integrated Physical and Behavioral Health Care Program Survey

主题Community-Based Health Care ; Electronic Medical Records ; Integrated Care ; Medicaid ; Medical Homes ; Mental Health Treatment ; New York
URLhttps://www.rand.org/pubs/research_reports/RR670.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/522565
推荐引用方式
GB/T 7714
Deborah M. Scharf,Joshua Breslau,Nicole Schmidt Hackbarth,et al. An Examination of New York State's Integrated Primary and Mental Health Care Services for Adults with Serious Mental Illness. 2014.
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