Mental health services providers' distribution across counties in the United States.

Knesper, David J.; Wheeler, John R. C.; Pagnucco, David J.

doi:10.1037/0003-066x.39.12.1424

Cited by 43 publications

(25 citation statements)

References 21 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The lack of large-scale mental health services research on this population means that this study is basically exploratory; however, its analytical prototype can be found in the Andersen model23 (which examines the effects of predisposing, enabling, and need factors) and in research on service systemvariables such as resources and reimbursement. 24 Residents, discharges, and staff registered nurses were selected in the second stage. Five or fewer residents per home were selected from entries on the current resident sampling list.…”

mentioning

confidence: 99%

Mental health service use by the elderly in nursing homes.

Burns¹,

Wagner²,

Taube³

et al. 1993

Am J Public Health

116

View full text Add to dashboard Cite

OBJECTIVES. Because current Omnibus Budget Reconciliation Act regulations influence the disposition of US nursing home residents who have mental illness, National Nursing Home Survey (1985) data are analyzed for predictors of mental health service use. METHODS. Elderly residents' rates of mental health service use are presented. Logistic regression yielded odds ratios for treatment by both mental health specialists and general practitioners for client and service system variables. RESULTS. Among the two thirds of elderly residents with a mental disorder (including dementia), only 4.5% receive any mental health treatment in a 1-month period. The ratio of specialist to general practitioner care is approximately 1:1. Patients seen by a specialist are likely to be younger (aged 65 to 74); live in the Northeast; and have a diagnosis of schizophrenia (13:1), dementia (3:1), or other mental disorders (5:1). Prior residence in a psychiatric hospital predicts care by both health professional types. Rural location, nonproprietary ownership of the nursing home, and aggressive behavior point to general physician care. CONCLUSIONS. Our findings indicate significant neglect of the mental health needs of older nursing home residents and underscore the importance of monitoring the regulations for screening and treatment of mental disorders under the Omnibus Budget Reconciliation Act.

show abstract

mentioning

confidence: 99%

Mental health service use by the elderly in nursing homes.

Burns¹,

Wagner²,

Taube³

et al. 1993

Am J Public Health

116

View full text Add to dashboard Cite

show abstract

“…Behavioral health providers tend to practice in more affluent areas with better behavioral health insurance coverage and higher educational attainment (Bird, Dempsey, & Hartley, 2011;Knesper, Wheeler, & Pagnucco, 1984). Baldwin et al (2006) examined mental health licensing and survey data in Washington state and found that urban areas had more than three times the number of psychiatrists (full time equivalents) than rural areas.…”

Section: Geography and Mental Health Servicesmentioning

confidence: 97%

Proximity of providers: Colocating behavioral health and primary care and the prospects for an integrated workforce.

Miller

Petterson²,

Burke³

et al. 2014

American Psychologist

View full text Add to dashboard Cite

Integrated behavioral health and primary care is emerging as a superior means by which to address the needs of the whole person, but we know neither the extent nor the distribution of integration. Using the Centers for Medicare and Medicaid Services' National Plan and Provider Enumeration System (NPPES) Downloadable File, this study reports where colocation exists for (a) primary care providers and any behavioral health provider and (b) primary care providers and psychologists specifically. The NPPES database offers new insights into where opportunities are limited for integration due to workforce shortages or nonproximity of providers and where possibilities exist for colocation, a prerequisite for integration.

show abstract

“…Research studies have highlighted quality-of-care problems experienced by groups who may have a limited ability to advocate for themselves and to navigate an increasingly complex health care system. Geographic variation in the concentration of mental health clinicians has also led to problems with access and quality in rural areas (42,43). Moreover, an expanding body of literature has documented disparities in health care among racial and ethnic minorities (40,41).…”

Section: Vulnerable Groupsmentioning

confidence: 99%

Common Ground: A Framework for Selecting Core Quality Measures for Mental Health and Substance Abuse Care

Hermann

Palmer²

2002

View full text Add to dashboard Cite

There is widespread interest throughout the mental health system in routine quality assessment to facilitate quality improvement, oversight, purchasing, and consumer choice. In the absence of agreement on a limited number of meaningful and feasible quality measures, delivery systems, payers, managed care organizations, regulators, and accreditors have each implemented unique measures and specifications. The resulting heterogeneity among measures has increased the burden on providers, limited the comparability of results, and hindered efforts to focus limited resources on further development of the most promising measures. Policy makers have initiated efforts for stakeholders to reach consensus on a core set of measures for common use, but barriers to progress remain, including differences in stakeholder needs and trade-offs between prioritizing desirable attributes of measures and representing the mental health system broadly. The authors present a framework for the selection of a core set of measures, clarify divergent perspectives, and make recommendations for further development of core quality measures for mental health care.

show abstract

Mental health services providers' distribution across counties in the United States.

Cited by 43 publications

References 21 publications

Mental health service use by the elderly in nursing homes.

Mental health service use by the elderly in nursing homes.

Proximity of providers: Colocating behavioral health and primary care and the prospects for an integrated workforce.

Common Ground: A Framework for Selecting Core Quality Measures for Mental Health and Substance Abuse Care

Contact Info

Product

Resources

About