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Continuation of care following an initial primary care visit with a mental health diagnosis: differences by receipt of VHA Primary Care-Mental Health Integration services.
Gen Hosp Psychiatry. 2013 Jan-Feb; 35(1):66-70.GH

Abstract

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.

Authors+Show Affiliations

Department of Veterans Affairs, Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, Michigan, USA. kiplingb@med.umich.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

23062728

Citation

Bohnert, Kipling M., et al. "Continuation of Care Following an Initial Primary Care Visit With a Mental Health Diagnosis: Differences By Receipt of VHA Primary Care-Mental Health Integration Services." General Hospital Psychiatry, vol. 35, no. 1, 2013, pp. 66-70.
Bohnert KM, Pfeiffer PN, Szymanski BR, et al. Continuation of care following an initial primary care visit with a mental health diagnosis: differences by receipt of VHA Primary Care-Mental Health Integration services. Gen Hosp Psychiatry. 2013;35(1):66-70.
Bohnert, K. M., Pfeiffer, P. N., Szymanski, B. R., & McCarthy, J. F. (2013). Continuation of care following an initial primary care visit with a mental health diagnosis: differences by receipt of VHA Primary Care-Mental Health Integration services. General Hospital Psychiatry, 35(1), 66-70. https://doi.org/10.1016/j.genhosppsych.2012.09.002
Bohnert KM, et al. Continuation of Care Following an Initial Primary Care Visit With a Mental Health Diagnosis: Differences By Receipt of VHA Primary Care-Mental Health Integration Services. Gen Hosp Psychiatry. 2013 Jan-Feb;35(1):66-70. PubMed PMID: 23062728.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Continuation of care following an initial primary care visit with a mental health diagnosis: differences by receipt of VHA Primary Care-Mental Health Integration services. AU - Bohnert,Kipling M, AU - Pfeiffer,Paul N, AU - Szymanski,Benjamin R, AU - McCarthy,John F, Y1 - 2012/10/09/ PY - 2012/06/15/received PY - 2012/08/16/revised PY - 2012/09/03/accepted PY - 2012/10/16/entrez PY - 2012/10/16/pubmed PY - 2013/7/11/medline SP - 66 EP - 70 JF - General hospital psychiatry JO - Gen Hosp Psychiatry VL - 35 IS - 1 N2 - 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. SN - 1873-7714 UR - https://www.unboundmedicine.com/medline/citation/23062728/Continuation_of_care_following_an_initial_primary_care_visit_with_a_mental_health_diagnosis:_differences_by_receipt_of_VHA_Primary_Care_Mental_Health_Integration_services_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0163-8343(12)00274-5 DB - PRIME DP - Unbound Medicine ER -