Cargando…

A Secondary-Primary Mental Health Integrated Care Model for Communities with Diverse Population and Complex Health Needs – a Case Study with Health Care Utilization Evaluation

Integrated care is expected to improve patient experience, patient outcomes and assist with the increasing demand on health services from those with long term conditions including mental disorder. Few studies have evaluated health care utilization as a consequence of increased integration of mental...

Descripción completa

Detalles Bibliográficos
Autores principales: Bensemann, Clive, Zeng, Irene Suilan, Hamer, Helen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9122002/
https://www.ncbi.nlm.nih.gov/pubmed/35634251
http://dx.doi.org/10.5334/ijic.5939
_version_ 1784711261596942336
author Bensemann, Clive
Zeng, Irene Suilan
Hamer, Helen
author_facet Bensemann, Clive
Zeng, Irene Suilan
Hamer, Helen
author_sort Bensemann, Clive
collection PubMed
description Integrated care is expected to improve patient experience, patient outcomes and assist with the increasing demand on health services from those with long term conditions including mental disorder. Few studies have evaluated health care utilization as a consequence of increased integration of mental health care. This study considers the factors known to influence secondary health service utilization and investigated the impact of a locality based mental health integrated model of care (ILoC) providing specialist consultation and liaison advice to primary care, to support early diagnosis and treatment. Using existing hospital databases, the study-cohort was identified (service users supported by ILoC, and then referred within 6 months to specialist mental health services (MHS) care between 2017– 2018) and compared on health services utilization with a matched-cohort (without ILoC support before referral to specialist services). The length-of-care in the non-acute MHS was 71% shorter for the ILoC study-cohort, and differences increased in the subgroup taking antidepressants. The ILoC study-cohort was less likely to be admitted to acute MHS on first referral post ILoC intervention and had a 25% lower relative risk of acute MHS admissions at any time in follow-up. There was no difference in the average MHS inpatient length-of-stay. The risk of general hospital acute inpatient admission was marginally higher in the ILoC study-cohort. CONCLUSIONS: ILoC appears to shorten non-acute length-of-specialist-care and reduce acute mental health admission. The study provides a first step in understanding the clinical characteristics and specialist services health-care utilization of patients supported by an integrated mental care approach.
format Online
Article
Text
id pubmed-9122002
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Ubiquity Press
record_format MEDLINE/PubMed
spelling pubmed-91220022022-05-27 A Secondary-Primary Mental Health Integrated Care Model for Communities with Diverse Population and Complex Health Needs – a Case Study with Health Care Utilization Evaluation Bensemann, Clive Zeng, Irene Suilan Hamer, Helen Int J Integr Care Integrated Care Case Integrated care is expected to improve patient experience, patient outcomes and assist with the increasing demand on health services from those with long term conditions including mental disorder. Few studies have evaluated health care utilization as a consequence of increased integration of mental health care. This study considers the factors known to influence secondary health service utilization and investigated the impact of a locality based mental health integrated model of care (ILoC) providing specialist consultation and liaison advice to primary care, to support early diagnosis and treatment. Using existing hospital databases, the study-cohort was identified (service users supported by ILoC, and then referred within 6 months to specialist mental health services (MHS) care between 2017– 2018) and compared on health services utilization with a matched-cohort (without ILoC support before referral to specialist services). The length-of-care in the non-acute MHS was 71% shorter for the ILoC study-cohort, and differences increased in the subgroup taking antidepressants. The ILoC study-cohort was less likely to be admitted to acute MHS on first referral post ILoC intervention and had a 25% lower relative risk of acute MHS admissions at any time in follow-up. There was no difference in the average MHS inpatient length-of-stay. The risk of general hospital acute inpatient admission was marginally higher in the ILoC study-cohort. CONCLUSIONS: ILoC appears to shorten non-acute length-of-specialist-care and reduce acute mental health admission. The study provides a first step in understanding the clinical characteristics and specialist services health-care utilization of patients supported by an integrated mental care approach. Ubiquity Press 2022-05-16 /pmc/articles/PMC9122002/ /pubmed/35634251 http://dx.doi.org/10.5334/ijic.5939 Text en Copyright: © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Integrated Care Case
Bensemann, Clive
Zeng, Irene Suilan
Hamer, Helen
A Secondary-Primary Mental Health Integrated Care Model for Communities with Diverse Population and Complex Health Needs – a Case Study with Health Care Utilization Evaluation
title A Secondary-Primary Mental Health Integrated Care Model for Communities with Diverse Population and Complex Health Needs – a Case Study with Health Care Utilization Evaluation
title_full A Secondary-Primary Mental Health Integrated Care Model for Communities with Diverse Population and Complex Health Needs – a Case Study with Health Care Utilization Evaluation
title_fullStr A Secondary-Primary Mental Health Integrated Care Model for Communities with Diverse Population and Complex Health Needs – a Case Study with Health Care Utilization Evaluation
title_full_unstemmed A Secondary-Primary Mental Health Integrated Care Model for Communities with Diverse Population and Complex Health Needs – a Case Study with Health Care Utilization Evaluation
title_short A Secondary-Primary Mental Health Integrated Care Model for Communities with Diverse Population and Complex Health Needs – a Case Study with Health Care Utilization Evaluation
title_sort secondary-primary mental health integrated care model for communities with diverse population and complex health needs – a case study with health care utilization evaluation
topic Integrated Care Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9122002/
https://www.ncbi.nlm.nih.gov/pubmed/35634251
http://dx.doi.org/10.5334/ijic.5939
work_keys_str_mv AT bensemannclive asecondaryprimarymentalhealthintegratedcaremodelforcommunitieswithdiversepopulationandcomplexhealthneedsacasestudywithhealthcareutilizationevaluation
AT zengirenesuilan asecondaryprimarymentalhealthintegratedcaremodelforcommunitieswithdiversepopulationandcomplexhealthneedsacasestudywithhealthcareutilizationevaluation
AT hamerhelen asecondaryprimarymentalhealthintegratedcaremodelforcommunitieswithdiversepopulationandcomplexhealthneedsacasestudywithhealthcareutilizationevaluation
AT bensemannclive secondaryprimarymentalhealthintegratedcaremodelforcommunitieswithdiversepopulationandcomplexhealthneedsacasestudywithhealthcareutilizationevaluation
AT zengirenesuilan secondaryprimarymentalhealthintegratedcaremodelforcommunitieswithdiversepopulationandcomplexhealthneedsacasestudywithhealthcareutilizationevaluation
AT hamerhelen secondaryprimarymentalhealthintegratedcaremodelforcommunitieswithdiversepopulationandcomplexhealthneedsacasestudywithhealthcareutilizationevaluation