An innovative model to coordinate healthcare and social services for people with serious mental illness: A mixed-methods case study of Maryland's Medicaid health home program

McGinty, Emma E.; Kennedy-Hendricks, Alene; Linden, Sarah; Choksy, Seema; Daumit, Gail L.

doi:10.1016/j.genhosppsych.2017.12.003

Cited by 27 publications

(57 citation statements)

References 55 publications

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“…In addition to the 5 unique articles identified in the initial search strategy, 4 additional studies were identified through reference lists. Of the nine articles, 4 were peer-reviewed studies (Annamalai, Tek, Sernyak, Cole, & Steiner, 2016;Maragakis & RachBeisel, 2015;McGinty et al, 2018;Scharf et al, 2013), 3 were gray literature reports from non-profit public policy research organizations (Golembieweski et al, 2015;Scharf, Breslau, et al, 2014;Scharf, Eberhart, et al, 2014), and 2 were gray literature reports from state Medicaid programs (Health Services Advisory Group, 2015; Missouri HealthNet, 2017).…”

Section: Implementation Barriers and Facilitatorsmentioning

confidence: 99%

“…Study characteristics-Seven studies examined implementation of BHHs at multiple sites, of which two occurred across multiple states (Scharf, Eberhart, et al, 2014; and five occurred in single states (Golembieweski et al, 2015;Health Services Advisory Group, 2015;McGinty et al, 2018;Missouri HealthNet, 2017;Scharf, Breslau, et al, 2014) (Table 3). Two studies looked at implementation at single sites (Annamalai et al, 2016;Maragakis & RachBeisel, 2015).…”

Section: Implementation Barriers and Facilitatorsmentioning

confidence: 99%

“…By definition, all BHH programs were grounded in a mental health center. Co-location of mental health and primary care was directly described by four studies, although not every clinic within each study had this model (Annamalai et al, 2016;McGinty et al, 2018;Scharf, Breslau, et al, 2014;Scharf, Eberhart, et al, 2014). For sites without co-location of services, distance ranged from 1-9 miles in New York State (Scharf, Breslau, et al, 2014) or not reported in all other studies.…”

Section: Implementation Barriers and Facilitatorsmentioning

confidence: 99%

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Physical health outcomes and implementation of behavioural health homes: a comprehensive review

Murphy¹,

Daumit

McGinty

2018

International Review of Psychiatry

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People with serious mental illness (SMI) have mortality rates 2-3 times higher than the general population, mostly driven by physical health conditions. Behavioral health homes (BHHs) integrate primary care into specialty mental health care settings with the goal of improving management of physical health conditions among people with SMI. Implementation and evaluation of BHH models is increasing in the U.S. In this comprehensive review, we summarized the available evidence on the effects of BHHs on physical health care delivery and outcomes and identified perceived barriers and facilitators that have arisen during implementation to-date. We found 11 studies reporting outcomes data on utilization, screening/monitoring, health promotion, patient-reported outcomes, physical health, and/or costs of BHHs. The results of our review suggest that BHHs have resulted in improved primary care access and screening and monitoring for cardiovascular-related conditions among consumers with SMI. No significant effect of BHHs was reported for outcomes on diabetes control, weight management, or smoking cessation. Overall, the physical health outcomes data is limited and mixed, and implementation of BHHs is variable.

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Section: Implementation Barriers and Facilitatorsmentioning

confidence: 99%

Section: Implementation Barriers and Facilitatorsmentioning

confidence: 99%

Section: Implementation Barriers and Facilitatorsmentioning

confidence: 99%

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Physical health outcomes and implementation of behavioural health homes: a comprehensive review

Murphy¹,

Daumit

McGinty

2018

International Review of Psychiatry

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“…We examine only the early effects of HHs. HHs involve complex implementation activities, such as establishing coordinated relationships between specialty behavioral and general medical care providers (McGinty et al, 2018). Thus, effects may vary over time.…”

Section: Discussionmentioning

confidence: 99%

Integrated care models and behavioral health care utilization: Quasi‐experimental evidence from Medicaid health homes

et al. 2020

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Integration of behavioral and general medical care can improve outcomes for individuals with behavioral health conditions-serious mental illness (SMI) and substance use disorder (SUD). However, behavioral health care has historically been segregated from general medical care in many countries. We provide the first population-level evidence on the effects of Medicaid health homes (HH) on behavioral health care service use. Medicaid, a public insurance program in the United States, HHs were created under the 2010 Affordable Care Act to coordinate behavioral and general medical care for enrollees with behavioral health conditions. As of 2016, 16 states had adopted an HH for enrollees with SMI and/or SUD. We use data from the National Survey on Drug Use and Health over the period 2010 to 2016 coupled with a two-way fixed-effects model to estimate HH effects on behavioral health care utilization. We find that HH adoption increases service use among enrollees, although mental health care treatment findings are sensitive to specification. Further, enrollee self-reported health improves post-HH.

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“…Other research that has also been done is research by Mcginty (2017) into the provision of nursing care in the form of a combination of sole specialist nursing actions that are CBT in patients, FPE in the family, supportive therapy for the group, and the implementation of care by cadres to improve self-sufficiency of patients with chronically low selfesteem, and can provide significant change. This empowers families here through FPE while in research, one component of FPE is called family empowerment (Stolzenburg, 2017).…”

Section: Introductionmentioning

confidence: 99%

Model of Potential Strengthening and Family Roles in Improving Family Members for ODGJ Adaptability

Suhron

Sulaihah

Yusuf

2017

Proceedings of the 2nd International Symposium of Public Health

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The recognition seekers, family nurses, providers, educators, and promoters have a family role that is one of the efforts to improve the adaptability of ODGJ family members. The purpose of this research was to analyze a model of potentially strengthening the family roles to improve the ability of adapted ODGJ family members. The design of this study was observational with a cross sectional approach. Exogenous variables are family potential strengthening, whereas the endogen variables are family role and client adaptability. The population was 55 families with 49 family samples using a cluster sampling method. The analysis used AMOS software. The family potential strengthening affected the family role, the family role affected the client's adaptability, and family potential strengthening did not affect the client's adaptability. This suggests that family potential strengthening will increase the family role, and the family role will increase client adaptability. The potential strengthening and family role model improves the ability of adapted ODGJ family members. Potential strengthening benefits the family by enhancing its role to improve adaptation of ODGJ family members.

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An innovative model to coordinate healthcare and social services for people with serious mental illness: A mixed-methods case study of Maryland's Medicaid health home program

Cited by 27 publications

References 55 publications

Physical health outcomes and implementation of behavioural health homes: a comprehensive review

Physical health outcomes and implementation of behavioural health homes: a comprehensive review

Integrated care models and behavioral health care utilization: Quasi‐experimental evidence from Medicaid health homes

Model of Potential Strengthening and Family Roles in Improving Family Members for ODGJ Adaptability

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