OBJECTIVE: For patients with an initial primary care (PC) encounter in the Veterans Health Administration (VHA) that included a mental health diagnosis, we evaluate whether same-day receipt of Primary Care-Mental Health Integration (PC-MHI) services is associated with the likelihood of receiving a subsequent mental-health-related encounter in the following 90 days. METHOD: Using VHA administrative data, we identified 9046 patients who received VHA care for the first time in fiscal year 2009, received a PC encounter that included a mental health diagnosis on the first day of their VHA services and initiated care at a VHA facility that provided PC-MHI services. Using multivariable generalized estimating equations logistic regression, we examined whether receipt of same-day PC-MHI was associated with receipt of a subsequent encounter with a mental health diagnosis within 90 days. Analyses adjusted for Operation Enduring Freedom/Operation Iraqi Freedom Veteran status, demographic characteristics, service-connected disability, psychiatric and non-psychiatric diagnoses, and psychotropic medication initiation on the index day of service use. RESULTS: Receipt of same-day PC-MHI services was positively associated with having a mental-health-related encounter in the following 90 days (adjusted odds ratio=2.05; 95% confidence interval=1.66-2.54). CONCLUSIONS: PC-MHI services may enhance mental health continuation of care among PC patients with mental health conditions who initiate VHA services. Published by Elsevier Inc.
OBJECTIVE: For patients with an initial primary care (PC) encounter in the Veterans Health Administration (VHA) that included a mental health diagnosis, we evaluate whether same-day receipt of Primary Care-Mental Health Integration (PC-MHI) services is associated with the likelihood of receiving a subsequent mental-health-related encounter in the following 90 days. METHOD: Using VHA administrative data, we identified 9046 patients who received VHA care for the first time in fiscal year 2009, received a PC encounter that included a mental health diagnosis on the first day of their VHA services and initiated care at a VHA facility that provided PC-MHI services. Using multivariable generalized estimating equations logistic regression, we examined whether receipt of same-day PC-MHI was associated with receipt of a subsequent encounter with a mental health diagnosis within 90 days. Analyses adjusted for Operation Enduring Freedom/Operation Iraqi Freedom Veteran status, demographic characteristics, service-connected disability, psychiatric and non-psychiatric diagnoses, and psychotropic medication initiation on the index day of service use. RESULTS: Receipt of same-day PC-MHI services was positively associated with having a mental-health-related encounter in the following 90 days (adjusted odds ratio=2.05; 95% confidence interval=1.66-2.54). CONCLUSIONS: PC-MHI services may enhance mental health continuation of care among PC patients with mental health conditions who initiate VHA services. Published by Elsevier Inc.
Authors: Rachel Kimerling; Lori A Bastian; Bevanne A Bean-Mayberry; Meggan M Bucossi; Diane V Carney; Karen M Goldstein; Ciaran S Phibbs; Alyssa Pomernacki; Anne G Sadler; Elizabeth M Yano; Susan M Frayne Journal: Psychiatr Serv Date: 2014-11-17 Impact factor: 3.084
Authors: Simon B Goldberg; Tracy L Simpson; Keren Lehavot; Jodie G Katon; Jessica A Chen; Joseph E Glass; Paula P Schnurr; Nina A Sayer; John C Fortney Journal: Psychiatr Serv Date: 2019-03-07 Impact factor: 3.084
Authors: Martin P Charns; Justin K Benzer; Nathalie M McIntosh; David C Mohr; Sara J Singer; Deborah Gurewich Journal: Med Care Date: 2022-05-01 Impact factor: 3.178
Authors: Rachel Kimerling; Joanne Pavao; Liberty Greene; Julie Karpenko; Allison Rodriguez; Meghan Saweikis; Donna L Washington Journal: Med Care Date: 2015-04 Impact factor: 2.983