The Association Between Client Characteristics and Recovery in California’s Comprehensive Community Mental Health Programs

Yoon, Jangho; Bruckner, Tim A.; Brown, Timothy A.

doi:10.2105/ajph.2013.301233

Cited by 10 publications

(14 citation statements)

References 26 publications

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“…Additionally, decreased bed-use was statistically Epidemiology and Psychiatric Sciences 9 more frequent among older consumers, those with more bed-days before admission, and consumers with a diagnosis other than schizophrenia/schizoaffective disorder. The latter finding corroborates previous studies, which found that a diagnosis of schizophrenia was associated with poor rehabilitation outcomes relative to other diagnoses (Chatterjee et al, 2009;Yoon et al, 2013). Unlike the findings by Gonda et al (2012) where the presence of a substance use disorder was an important predictor of symptomatic improvement, the only outcome which was predicted by this variable was a reliable improvement in the number of ED presentations.…”

Section: Discussionsupporting

confidence: 89%

Community-care unit model of residential mental health rehabilitation services in Queensland, Australia: predicting outcomes of consumers 1-year post discharge

Parker

Arnautovska²,

Siskind

et al. 2020

Epidemiol Psychiatr Sci

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Aims Community care units (CCUs) are a model of residential psychiatric rehabilitation aiming to improve the independence and community functioning of people with severe and persistent mental illness. This study examined factors predicting improvement in outcomes among CCU consumers. Methods Hierarchical regression using data from a retrospective cohort (N = 501) of all consumers admitted to five CCUs in Queensland, Australia between 2005 and 2014. The primary outcome was changed in mental health and social functioning (Health of the Nation Outcome Scale). Secondary outcomes were disability (Life Skills Profile-16), service use, accommodation instability, and involuntary treatment. Potential predictors covered service, consumer, and treatment characteristics. Group-level and individualised change were assessed between the year pre-admission and post-discharge. Where relevant and available, the reliable and clinically significant (RCS) change was assessed by comparison with a normative sample. Results Group-level analyses showed statistically significant improvements in mental health and social functioning, and reductions in psychiatry-related bed-days, emergency department (ED) presentations and involuntary treatment. There were no significant changes in disability or accommodation instability. A total of 54.7% of consumers demonstrated reliable improvement in mental health and social functioning, and 43.0% showed RCS improvement. The majority (60.6%) showed a reliable improvement in psychiatry-related bed-use; a minority demonstrated reliable improvement in ED presentations (12.5%). Significant predictors of improvement included variables related to the CCU care (e.g. episode duration), consumer characteristics (e.g. primary diagnosis) and treatment variables (e.g. psychiatry-related bed-days pre-admission). Higher baseline impairment in mental health and social functioning (β = 1.12) and longer episodes of CCU care (β = 1.03) increased the likelihood of RCS improvement in mental health and social functioning. Conclusions CCU care was followed by reliable improvements in relevant outcomes for many consumers. Consumers with poorer mental health and social functioning, and a longer episode of CCU care were more likely to make RCS improvements in mental health and social functioning.

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Section: Discussionsupporting

confidence: 89%

Community-care unit model of residential mental health rehabilitation services in Queensland, Australia: predicting outcomes of consumers 1-year post discharge

Parker

Arnautovska²,

Siskind

et al. 2020

Epidemiol Psychiatr Sci

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“…This is specifically relevant for veteran populations who have experienced increased rates of mental health disorders [ 47 ] and high rates of comorbidity between pain and mental health diagnoses [ 13 , 48 ]. The results of the current study not only support the importance of mental health professionals using holistic interventions but also supports previous research that cites the benefit of integrated behavioral and primary healthcare, see e.g., [ 49 , 50 ].…”

Section: Resultssupporting

confidence: 89%

Pain intensity and mental health quality of life in veterans with mental illnesses: the intermediary role of physical health and the ability to participate in activities

et al. 2020

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Purpose The purpose of this study was to examine the intermediary role of physical health quality of life and ability to participate social roles and activities in the relationship between pain intensity and mental health quality of life in veterans with mental illnesses. Methods This is a cross-sectional correlational design study. Our participants are 156 veterans with self-reported mental illness ( M age = 37.85; SD age = 10.74). Descriptive, correlation, and mediation analyses were conducted for the current study. Results Pain intensity was negatively correlated with physical health QOL, ability to participate in social roles and activities, and mental health QOL. Physical health QOL and ability to participate in social roles and activities were positively associated with mental health QOL, respectively. Physical health QOL was positively correlated with a ability to participate in social roles and activities. Study results indicate that the effect of pain intensity on mental health QOL can be explained by physical health QOL and ability to participate. Conclusions Specific recommendations for practitioners include implementing treatment goals that simultaneously focus on physical health and ability to participate in social roles and activities for clients who present with both physical pain and low mental health QOL.

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“…An integrated behavioral and primary health care (IBPH) approach is one method of accommodating the needs of individuals with SMI that appears to have maximum benefit for society (Yoon, Bruckner, & Brown, ). Behavioral and primary health integration serves to address a phenomenon observed in the mental health population, in which the majority of individuals who receive mental health services also have at least one unaddressed chronic health condition (Texas Health and Human Services, ).…”

mentioning

confidence: 99%

Examining the Effectiveness of Integrated Behavioral and Primary Health Care Treatment

Schmit

Watson

Fernandez

2018

Jour of Counseling & Develop

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Using a quasi‐experimental, pre–post test design of 196 persons diagnosed with serious mental illness, the authors compared the effectiveness of an integrated behavioral and primary health care (IBPH) treatment approach vs. a treatment‐as‐usual approach over a 12‐month period. A profile analysis of 5 mean difference scores, each representing a separate component of client holistic functioning, indicated that individuals receiving IBPH experienced a 24‐times greater improvement in overall functioning. Recommendations for treatment and client care are provided.

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The Association Between Client Characteristics and Recovery in California’s Comprehensive Community Mental Health Programs

Cited by 10 publications

References 26 publications

Community-care unit model of residential mental health rehabilitation services in Queensland, Australia: predicting outcomes of consumers 1-year post discharge

Community-care unit model of residential mental health rehabilitation services in Queensland, Australia: predicting outcomes of consumers 1-year post discharge

Pain intensity and mental health quality of life in veterans with mental illnesses: the intermediary role of physical health and the ability to participate in activities

Examining the Effectiveness of Integrated Behavioral and Primary Health Care Treatment

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