Reliable Self-Report of Health Service Use by Individuals With Serious Mental Illness

Goldberg, Richard W.; Seybolt, Diana; Lehman, Anthony F.

doi:10.1176/appi.ps.53.7.879

Cited by 90 publications

(72 citation statements)

References 9 publications

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“…Second, because our outcome measure was constructed with self-reported data, our findings may not reflect true use. Although this is a valid concern, evidence suggests that people with severe mental illness provide reliable data (34), and no evidence exists that reliability varies by race-ethnicity. Third, although our state-stratified analyses controlled for state policies that may contribute to disparities, the study was not powered to control for study site (that is, ACT team).…”

Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Service Use Disparities Among Homeless Adults With Severe Mental Illnesses Receiving ACT

Horvitz-Lennon

Zhou²,

Normand³

et al. 2011

Psychiatric Services

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Objective Case management–based interventions aimed at improving quality of care have the potential to narrow racial and ethnic disparities among people with chronic illnesses. The aim of this study was to assess the equity effects of assertive community treatment (ACT), an evidence-based case management intervention, among homeless adults with severe mental illness. Methods This study used baseline, three-, and 12-month data for 6,829 black, Latino, and white adults who received ACT services through the ACCESS study (Access to Community Care and Effective Services and Support). Zero-inflated Poisson random regression models were used to estimate the adjusted probability of use of outpatient psychiatric services and, among service users, the intensity of use. Odds ratios and rate ratios (RRs) were computed to assess disparities at baseline and over time. Results No disparities were found in probability of use at baseline or over time. Compared with white users, baseline intensity of use was lower for black users (RR=.89; 95% confidence interval [CI]=.83–.96) and Latino users (RR=.65; CI=.52–.81]). Intensity did not change over time for whites, but it did for black and Latino users. Intensity increased for blacks between baseline and three months (RR=1.11, CI=1.06–1.17]) and baseline and 12 months (RR=1.17, CI=1.11–1.22]). Intensity of use dropped for Latinos between baseline and three months (RR=.83, CI=.70–.98). Conclusions Receipt of ACT was associated with a reduction in service use disparities for blacks but not for Latinos. Findings suggest that ACT’s equity effects differ depending on race-ethnicity.

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Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Service Use Disparities Among Homeless Adults With Severe Mental Illnesses Receiving ACT

Horvitz-Lennon

Zhou²,

Normand³

et al. 2011

Psychiatric Services

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“…Furthermore, a number of studies have found that this approach is acceptable. 72,73 Although routine data sources can be used for some service-use measures, it is not always apparent that these are in themselves wholly accurate measures of resource use. We measured service use over a relatively short period prior to each follow-up and there is no reason to expect that under-or (maybe less likely) over-reporting would affect one group more than another.…”

Section: Cost-effectiveness Of the Dialog+ Interventionmentioning

confidence: 99%

Effective patient–clinician interaction to improve treatment outcomes for patients with psychosis: a mixed-methods design

Priebe

Golden

Kingdon

et al. 2017

Programme Grants Appl Res

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et al. Effective patient-clinician interaction to improve treatment outcomes for patients with psychosis: a mixed-methods design. Programme Grants Appl Res 2017;5(6). Programme Grants for Applied ResearchISSN 2050-4322 (Print) ISSN 2050-4330 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full PGfAR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/pgfar. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Programme Grants for Applied Research journalReports are published in Programme Grants for Applied Research (PGfAR) if (1) they have resulted from work for the PGfAR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. Programme Grants for Applied Research programmeThe Programme Grants for Applied Research (PGfAR) programme, part of the National Institute for Health Research (NIHR), was set up in 2006 to produce independent research findings that will have practical application for the benefit of patients and the NHS in the relatively near future. The Programme is managed by the NIHR Central Commissioning Facility (CCF) with strategic input from the Programme Director.The programme is a national response mode funding scheme that aims to provide evidence to improve health outcomes in England through promotion of health, prevention of ill health, and optimal disease management (including safety and quality), with particular emphasis on conditions causing significant disease burden.For more information about the PGfAR programme please visit the website: http://www.nihr.ac.uk/funding/programme-grants-forapplied-research.htm This reportThe research reported in this issue of the journal was funded by PGfAR as project number RP-PG-0108-10023. The contractual start date was in April 2010. The final report began editorial review in October 2015 and was accepted for publication in August 2016. As the funder, the PGfAR programme agreed the research questions and study designs in advance with the investigators. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PGfAR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, CCF, NETSCC, PGfAR or the Department of Health. If there are verbatim quotations included in this publicatio...

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“…Although literature suggests patients with schizophrenia can reliably report their use of health services, including 6-month recall (Goldberg et al, 2002), this 90-day period was half the length of our intervention (6-months). Thus, it is not clear how many participants from the FAST and control conditions used emergency services during the first 3-months of the intervention.…”

Section: Discussionmentioning

confidence: 99%

“…For each service, frequency and duration of use over the past 90 days was recorded, as was the reason for the service being used (e.g., physical problem, mental health problem). Previous literature indicates that persons with schizophrenia can provide reliable information about their use of health services, even up to 6-month recall (Goldberg, Seybolt, & Lehman, 2002). Because the present study focused on "emergency" service utilization, the following 4 items from the Intensive Services subscale were used: a) emergency room visit, b) crisis team visit, c) partial hospitalization program, and d) inpatient hospitalization.…”

Section: Methodsmentioning

confidence: 99%

Reducing emergency medical service use in patients with chronic psychotic disorders: Results from the FAST intervention study

Cárdenas

McKibbin

Jeste

et al. 2008

Behaviour Research and Therapy

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Patients with schizophrenia have disproportionately high rates of emergency medical service use, likely contributing to the high cost this illness places on society. The aim of this study was to examine the impact of a theory-based, behavioral intervention on immediate and long-term use of emergency medical services. Older patients with schizophrenia (N=240) were randomized to receive either a behavioral, skills-building intervention known as Functional Adaptation and Skills Training (FAST) or to a time equivalent attention-control condition (AC). Logistic regression analyses indicated that AC participants were nearly twice as likely to use emergency medical services in general (OR = 2.54; p = 0.02) and emergency psychiatric services in particular (OR = 3.69; p = .05) during the active intervention phase of the study. However, there were no differences between the interventions in terms of emergency service use during the long-term follow-up phase of the study (i.e., 6-months to 18-months post-baseline). The FAST intervention appears efficacious for reducing short-term risk of using emergency medical services. However, the long-term efficacy of the FAST intervention appears less clear. Future studies may want to provide more powerful maintenance sessions to encourage continued use of skills in patients' real-world settings.

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Reliable Self-Report of Health Service Use by Individuals With Serious Mental Illness

Cited by 90 publications

References 9 publications

Racial and Ethnic Service Use Disparities Among Homeless Adults With Severe Mental Illnesses Receiving ACT

Racial and Ethnic Service Use Disparities Among Homeless Adults With Severe Mental Illnesses Receiving ACT

Effective patient–clinician interaction to improve treatment outcomes for patients with psychosis: a mixed-methods design

Reducing emergency medical service use in patients with chronic psychotic disorders: Results from the FAST intervention study

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