OBJECTIVE: Discontinuities in health insurance coverage may make it difficult for individuals early in psychosis to receive the services that are critical in determining long-term outcome. This study reports on the rates and continuity of insurance coverage among a cohort of early-psychosis patients enrolled in Specialized Treatment Early in Psychosis (STEP) at the Connecticut Mental Health Center. METHODS: Insurance status at baseline, six months, and 12 months was collected from 82 participants from a combination of self-reports, clinical chart review, clinician reports, and a database maintained by the state Department of Social Services. RESULTS: A total of 34 participants did not know whether they had health insurance or did not appear for follow-up assessments at six and 12 months. Among the remaining 48 participants, at baseline 18 had private insurance, 13 had public insurance, and 16 had no insurance. By the 12-month assessment, 13 (72%) privately insured and five (38%) publicly insured participants had lost coverage; less than one-third of the 48 participants (N=14) maintained continuous coverage. CONCLUSIONS: Specialty services for individuals experiencing early psychosis should address the difficulty of maintaining health insurance coverage during a period of illness in which continuity of care is critical to recovery.
OBJECTIVE: Discontinuities in health insurance coverage may make it difficult for individuals early in psychosis to receive the services that are critical in determining long-term outcome. This study reports on the rates and continuity of insurance coverage among a cohort of early-psychosispatients enrolled in Specialized Treatment Early in Psychosis (STEP) at the Connecticut Mental Health Center. METHODS: Insurance status at baseline, six months, and 12 months was collected from 82 participants from a combination of self-reports, clinical chart review, clinician reports, and a database maintained by the state Department of Social Services. RESULTS: A total of 34 participants did not know whether they had health insurance or did not appear for follow-up assessments at six and 12 months. Among the remaining 48 participants, at baseline 18 had private insurance, 13 had public insurance, and 16 had no insurance. By the 12-month assessment, 13 (72%) privately insured and five (38%) publicly insured participants had lost coverage; less than one-third of the 48 participants (N=14) maintained continuous coverage. CONCLUSIONS: Specialty services for individuals experiencing early psychosis should address the difficulty of maintaining health insurance coverage during a period of illness in which continuity of care is critical to recovery.
Authors: Tor K Larsen; Ingrid Melle; Bjørn Auestad; Svein Friis; Ulrik Haahr; Jan Olav Johannessen; Stein Opjordsmoen; Bjørn Rishovd Rund; Erik Simonsen; Per Vaglum; Thomas McGlashan Journal: Schizophr Bull Date: 2006-06-29 Impact factor: 9.306
Authors: Robert A Rosenheck; Douglas L Leslie; Jody Sindelar; Edward A Miller; Haiqun Lin; T Scott Stroup; Joseph McEvoy; Sonia M Davis; Richard S E Keefe; Marvin Swartz; Diana O Perkins; John K Hsiao; Jeffrey Lieberman Journal: Am J Psychiatry Date: 2006-12 Impact factor: 18.112
Authors: Michael T Compton; Claire E Ramsay; Ruth S Shim; Sandra M Goulding; Tynessa L Gordon; Paul S Weiss; Benjamin G Druss Journal: Psychiatr Serv Date: 2009-11 Impact factor: 3.084
Authors: Michael Schoenbaum; Jason M Sutherland; Andre Chappel; Susan Azrin; Amy B Goldstein; Agnes Rupp; Robert K Heinssen Journal: Schizophr Bull Date: 2017-10-21 Impact factor: 9.306
Authors: Vinod H Srihari; Cenk Tek; Jessica Pollard; Suzannah Zimmet; Jane Keat; John D Cahill; Suat Kucukgoncu; Barbara C Walsh; Fangyong Li; Ralitza Gueorguieva; Nina Levine; Raquelle I Mesholam-Gately; Michelle Friedman-Yakoobian; Larry J Seidman; Matcheri S Keshavan; Thomas H McGlashan; Scott W Woods Journal: BMC Psychiatry Date: 2014-12-04 Impact factor: 3.630