Medical Care Services in Community Mental Health Centers: a National Survey of Psychiatrists

Shim, Ruth S.; Lally, Cathy; Farley, Rebecca; Ingoglia, Chuck; Druss, Benjamin G.

doi:10.1007/s11414-014-9453-4

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…The proportion of facilities that reported providing integrated primary care on the N-MHSS is somewhat consistent with findings from a 2013 survey of 435 psychiatrists who work in CMHCs; 38% of those psychiatrists reported that their CMHC provided primary care services and 25% reported that the CMHCs employed a primary care provider (9).…”

Section: Discussionsupporting

confidence: 75%

“…In addition, although the definition of integrated primary care services included in N-MHSS is broad and does not refer to a single model of care, it may not capture all of the care coordination models or referral practices that facilities use to address general medical and wellness needs (8). Finally, facilities that offer integrated primary care may encounter challenges to sustaining these services (9,11). The lack of year-to-year changes in the proportion of facilities that offer integrated primary care could reflect these sustainability challenges; some facilities may be newly adopting integrated primary care while other facilities are ceasing to offer these services.…”

Section: Discussionmentioning

confidence: 99%

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Availability of Integrated Primary Care Services in Community Mental Health Care Settings

Brown

2019

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This study examined the availability of primary care and wellness services in community mental health centers (CMHCs) and outpatient mental health facilities (OMHFs).Methods: This study used data from the 2016 National Mental Health Services Survey to examine the proportion of facilities that reported offering integrated primary care and wellness services (smoking and tobacco cessation counseling, diet and exercise counseling, and chronic disease and illness management). The study used logistic regression to model the odds that a facility offered integrated primary care as a function of facility characteristics.Results: Across states, 23% of CMHCs and 19% of OMHFs offered integrated primary care. The odds of offering integrated primary care were significantly higher among facilities that reported more quality improvement practices, prohibited smoking, or offered wellness services. Less than one third offered smoking and tobacco cessation counseling or other wellness services.Conclusions: Integrated primary care remains uncommon in CMHCs and OMHFs and is more likely among facilities with certain characteristics.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Availability of Integrated Primary Care Services in Community Mental Health Care Settings

Brown

2019

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“…Research exploring care provision addressing health risk behaviours within CMOs for consumers with mental health conditions has been limited by: (1) focusing on physical health broadly (i.e., encompassing all health from minor ailments through to chronic diseases such as cancer, with no specific focus on health risk behaviours) ( [12][13][14][15]); (2) focusing on one health risk behaviour only [16,17]; (3) combining results for CMO-delivered and public mental health services [18][19][20][21]; and (4) combining results for populations of individuals with and without mental health conditions [22,23]. Outside of Australia, no research to the authors knowledge has explored the care being provided by CMOs to address multiple health risk behaviours among consumers with mental health conditions.…”

Section: Introductionmentioning

confidence: 99%

Exploring Support Provided by Community Managed Organisations to Address Health Risk Behaviours Associated with Chronic Disease among People with Mental Health Conditions: A Qualitative Study with Organisational Leaders

Dray

Gibson

Clinton‐McHarg

et al. 2022

IJERPH

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People living with mental health conditions experience a significantly reduced life expectancy compared to people without, largely linked to health risk behaviours and associated chronic disease. Community managed organisations (CMOs) represent an important setting in which to address health risk behaviours among people with mental health conditions. However, little is known about how these behaviours (smoking, poor nutrition, alcohol consumption, inadequate physical activity, poor sleep: SNAPS) are being addressed in this setting. One-on-one, semi-structured telephone interviews were conducted with a sample of 12 senior staff, representing 12 CMOs in New South Wales, Australia to: (1) explore types of support provided by CMOs to address the SNAPS behaviours of consumers living with a mental health condition; and (2) assess perceived organisational and staff level barriers and facilitators to providing such support. Transcribed interviews were analysed using inductive thematic analysis. This study found there was a range of supports offered by CMOs, and these differed by health risk behaviour. Findings suggest CMOs are well-placed to embed SNAPS supports as a part of their service provision; however, available funding, consistency of supports, workplace policies and culture, collaboration with other available supports, staff training and education, all impacted capacity.

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The Effectiveness of a Specialized Primary Care Medical Home for Patients with Serious Mental Illness

et al. 2022

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Medical Care Services in Community Mental Health Centers: a National Survey of Psychiatrists

Cited by 6 publications

References 11 publications

Availability of Integrated Primary Care Services in Community Mental Health Care Settings

Availability of Integrated Primary Care Services in Community Mental Health Care Settings

Exploring Support Provided by Community Managed Organisations to Address Health Risk Behaviours Associated with Chronic Disease among People with Mental Health Conditions: A Qualitative Study with Organisational Leaders

The Effectiveness of a Specialized Primary Care Medical Home for Patients with Serious Mental Illness

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