Oral Health Needs and Experiences of Medicaid Enrollees With Serious Mental Illness

Hall, Jean P.; LaPierre, Tracey A.; Kurth, Noelle K.

doi:10.1016/j.amepre.2018.05.013

Cited by 10 publications

(26 citation statements)

References 37 publications

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“…Data on the risk of bias (quality assessment of studies using new castle-ottawa scale) is given in Table 3(see PDF) and Figure 2(see PDF). Data shows that under the domain selection, one study [ 33 ] received the maximum 5 stars, whereas 2 studies [ 32 , 36 ] received 4 stars and 3 studies [ 34 , [ 35 , [ 37 ] received 3 stars. All 6 studies received a maximum of 1 star [ 32 - 37 ] for the domain comparability.…”

Section: Resultsmentioning

confidence: 99%

“…Dental cost, location of dental clinic, lack of dentists prepared to treat people with disabilities, transportation problems and lack of comprehensive oral health care were reported as a barrier in accessing dental care [ 34 , 36 ]. Information on barriers is very important for planning effective strategies to enable access to oral health services.…”

Section: Resultsmentioning

confidence: 99%

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Concerns on oral health care services for adults with cognitive and intellectual disabilities

Indiran¹

2020

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It is of interest to document data on oral health care services for adults with cognitive and intellectual disabilities. Hence, a study protocol was registered at the International Prospective Register of Systematic Reviews (PROSPERO) with registration number: CRD42020150759. We used PubMed, Science Direct, LILACS and SCIELO to collect data from known literature using keywords containing MESH (Medical Subject Headings) terms. The risk of bias rating for the collected data was calculated using the Newcastle-Ottawa assessment Scale. The AHRQ (Agency for Healthcare, Research and Quality) was used for classifying the level of evidence in the collected data. Analysis of available data shows that there is a lack of dentists with adequate skills to treat people with disabilities resulting in high cost for dental treatment. Thus, we conclude that inconvenient location of dental clinic, lack of dentists willing to treat people with disabilities and attitude of dental staff towards people with learning disabilities were considered as barriers and challenges faced for dental health service utilization in this context.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Concerns on oral health care services for adults with cognitive and intellectual disabilities

Indiran¹

2020

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“…Previous research has not examined the effect of co‐location of dental services with mental health services as an enabling factor for dental utilization. However, findings from prior qualitative studies indicate that persons with serious mental illness reported difficulties finding a dental provider who accepts Medicaid and that challenges with transportation are obstacles to dental care 24,25 . Co‐location of dental care with publicly funded mental health care may address some of these barriers by providing easier access to a dental care provider who accepts Medicaid.…”

Section: Discussionmentioning

confidence: 99%

“…For example, past research identified predisposing characteristics and enabling factors empirically associated with dental utilization among individuals with serious mental illness and (dis)enabling factors perceived by participants as barriers to dental care. Specifically, studies have shown that poorer cognitive functioning 23 and lower education level 24 were associated with not having a dental visit in a 1‐year time frame. A recent study indicated having more primary care visits was associated with having a dental visit, 25 whereas earlier research found no association between primary care and dental utilization 11 .…”

Section: Introductionmentioning

confidence: 99%

An examination of predisposing and enabling factors that predict dental utilization among individuals with serious mental illness in Detroit, Michigan

Abraham

Chavis

et al. 2022

Comm Dent Oral Epid

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Objectives: This study evaluated which predisposing and enabling factors prospectively predicted dental utilization over 6 months among people with serious mental illness. Methods:A sample of individuals with serious mental illness (86.3% African American; 97.4% with public health insurance) was recruited from community mental health centres in Detroit, Michigan, and responded to questionnaires at baseline and at least one follow-up visit at 3 or 6 months (N = 190). Baseline assessments included demographic and clinical information, established measures of health literacy, health insurance literacy, stigma related to mental illness, experiences of racial discrimination and medical mistrust. Insurance coverage for dental care and the availability of dental services at the participants' mental health centres was recorded. At follow-up visits, participants reported healthcare utilization, including dental and primary care, since baseline.Results: Three factors emerged as meaningful predictors of having a dental visit in bivariate and multivariate analyses: more medical comorbidities and dental care co-located with mental health care predicted increased likelihood of a dental visit, whereas having experienced racial discrimination in a medical setting predicted lower odds of having a dental visit in the follow-up period. Co-location of dental care with mental health care was the strongest predictor of having a dental visit. Conclusions:Co-locating dental care with mental health care may increase dental utilization among people with serious mental illness, possibly by mitigating known barriers to dental care for this population. Among African Americans, the co-location of dental care with mental health care may also attenuate the negative effect of prior racial discrimination in a medical setting on dental utilization.

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“… 19 , 28 , 29 People with serious mental illness (SMI) may be particularly disadvantaged by a long trip to the pharmacy, with one study of Kansas Medicaid beneficiaries with SMI noting substantial transportation barriers, including being unable to drive safely due to adverse effects from medications. 30 If trained, community pharmacists can identify SDOH related to medication use, and develop and implement (in collaboration with partners from other disciplines) individualized care plans.…”

Section: The Role Of Pharmacists Todaymentioning

confidence: 99%

Social Determinants of Health in People Living with Psychiatric Disorders: The Role of Pharmacists

et al. 2023

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Introduction: Social determinants of health (SDOH) affect outcomes of people living with psychiatric disorders, including substance use disorders. As experts in medication optimization, pharmacists play a vital role in identifying and addressing medication-related problems associated with SDOH. However, there is a paucity of literature on how pharmacists can be part of the solution. Objective: The purpose of this article is to provide a narrative review and commentary on the intersection between SDOH, medication-related outcomes in people living with psychiatric disorders, and the role of pharmacists in addressing them. Method: The American Association of Psychiatric Pharmacists appointed an expert panel to research the issue, identify barriers, and develop a framework for including pharmacists in addressing medication therapy problems associated with SDOH in people with psychiatric disorders. The panel used Healthy People 2030 as the framework and sought input from public health officials to propose solutions for their commentary. Results: We identified potential connections between SDOH and their impact on medication use in people with psychiatric disorders. We provide examples of how comprehensive medication management can afford opportunities for pharmacists to mitigate medication-related problems associated with SDOH. Conclusion: Public health officials should be aware of the vital role that pharmacists play in addressing medication therapy problems associated with SDOH to improve health outcomes and to incorporate them in health promotion programs.

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Oral Health Needs and Experiences of Medicaid Enrollees With Serious Mental Illness

Cited by 10 publications

References 37 publications

Concerns on oral health care services for adults with cognitive and intellectual disabilities

Concerns on oral health care services for adults with cognitive and intellectual disabilities

An examination of predisposing and enabling factors that predict dental utilization among individuals with serious mental illness in Detroit, Michigan

Social Determinants of Health in People Living with Psychiatric Disorders: The Role of Pharmacists

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