Cargando…
Design of and outcomes in a student-run free mental health clinic serving the uninsured in East Harlem
BACKGROUND: Safety-net clinics are an important source of low-cost or free mental healthcare to those with limited financial resources. Such clinics are often staffed by trainees in early stages of their career. Only limited data exist on best practices in treatment-implementation and on clinical ou...
Autores principales: | , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9321276/ https://www.ncbi.nlm.nih.gov/pubmed/35883038 http://dx.doi.org/10.1186/s12888-022-04112-w |
_version_ | 1784756003245391872 |
---|---|
author | Powell, Samuel K. Saali, Alexandra Frere, Justin Magill, Elizabeth Krystal, Hannah Serafini, Randal A. Sultana, Syeda Dale, Brandon Ali, Muhammad Kumar, Vedika Datta, Debjyoti Hernandez-Antonio, Josimar Aronson, Anne Meah, Yasmin S. Gluhoski, Vicki Katz, Craig L. |
author_facet | Powell, Samuel K. Saali, Alexandra Frere, Justin Magill, Elizabeth Krystal, Hannah Serafini, Randal A. Sultana, Syeda Dale, Brandon Ali, Muhammad Kumar, Vedika Datta, Debjyoti Hernandez-Antonio, Josimar Aronson, Anne Meah, Yasmin S. Gluhoski, Vicki Katz, Craig L. |
author_sort | Powell, Samuel K. |
collection | PubMed |
description | BACKGROUND: Safety-net clinics are an important source of low-cost or free mental healthcare to those with limited financial resources. Such clinics are often staffed by trainees in early stages of their career. Only limited data exist on best practices in treatment-implementation and on clinical outcomes attained in such clinics. The primary purpose of this article is to describe the design of an outpatient psychiatry student-run free clinic (SRFC) serving uninsured individuals in New York City’s East Harlem neighborhood and to analyze the quality of services provided and the clinical outcomes attained. METHODS: The authors conducted a retrospective chart review of n = 69 patients treated in the EHHOP Mental Health Clinic (E-MHC) to describe the demographic and clinical characteristics of the study population. Utilizing Health Effectiveness Data and Information Set metrics, they estimated the likelihoods of patients meeting metric quality criteria compared to those in other New York State (NYS) insurance groups. The authors derived linear mixed effect and logistic regression models to ascertain factors associated with clinical outcomes. Finally, the authors collected patient feedback on the clinical services received using a customized survey. RESULTS: Almost all patients were of Hispanic ethnicity, and about half of patients had more than one psychiatric disorder. The clinical service performance of the E-MHC was non-inferior on most measures examined. Factors associated with symptom improvement were the number of treatment sessions and certain demographic and clinical variables. Patients provided highly positive feedback on the mental healthcare services they received. CONCLUSIONS: SRFCs can provide quality care to vulnerable patients that leads to clinically meaningful reductions in psychiatric symptoms and is well-received by patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-022-04112-w. |
format | Online Article Text |
id | pubmed-9321276 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-93212762022-07-27 Design of and outcomes in a student-run free mental health clinic serving the uninsured in East Harlem Powell, Samuel K. Saali, Alexandra Frere, Justin Magill, Elizabeth Krystal, Hannah Serafini, Randal A. Sultana, Syeda Dale, Brandon Ali, Muhammad Kumar, Vedika Datta, Debjyoti Hernandez-Antonio, Josimar Aronson, Anne Meah, Yasmin S. Gluhoski, Vicki Katz, Craig L. BMC Psychiatry Research Article BACKGROUND: Safety-net clinics are an important source of low-cost or free mental healthcare to those with limited financial resources. Such clinics are often staffed by trainees in early stages of their career. Only limited data exist on best practices in treatment-implementation and on clinical outcomes attained in such clinics. The primary purpose of this article is to describe the design of an outpatient psychiatry student-run free clinic (SRFC) serving uninsured individuals in New York City’s East Harlem neighborhood and to analyze the quality of services provided and the clinical outcomes attained. METHODS: The authors conducted a retrospective chart review of n = 69 patients treated in the EHHOP Mental Health Clinic (E-MHC) to describe the demographic and clinical characteristics of the study population. Utilizing Health Effectiveness Data and Information Set metrics, they estimated the likelihoods of patients meeting metric quality criteria compared to those in other New York State (NYS) insurance groups. The authors derived linear mixed effect and logistic regression models to ascertain factors associated with clinical outcomes. Finally, the authors collected patient feedback on the clinical services received using a customized survey. RESULTS: Almost all patients were of Hispanic ethnicity, and about half of patients had more than one psychiatric disorder. The clinical service performance of the E-MHC was non-inferior on most measures examined. Factors associated with symptom improvement were the number of treatment sessions and certain demographic and clinical variables. Patients provided highly positive feedback on the mental healthcare services they received. CONCLUSIONS: SRFCs can provide quality care to vulnerable patients that leads to clinically meaningful reductions in psychiatric symptoms and is well-received by patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-022-04112-w. BioMed Central 2022-07-26 /pmc/articles/PMC9321276/ /pubmed/35883038 http://dx.doi.org/10.1186/s12888-022-04112-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Powell, Samuel K. Saali, Alexandra Frere, Justin Magill, Elizabeth Krystal, Hannah Serafini, Randal A. Sultana, Syeda Dale, Brandon Ali, Muhammad Kumar, Vedika Datta, Debjyoti Hernandez-Antonio, Josimar Aronson, Anne Meah, Yasmin S. Gluhoski, Vicki Katz, Craig L. Design of and outcomes in a student-run free mental health clinic serving the uninsured in East Harlem |
title | Design of and outcomes in a student-run free mental health clinic serving the uninsured in East Harlem |
title_full | Design of and outcomes in a student-run free mental health clinic serving the uninsured in East Harlem |
title_fullStr | Design of and outcomes in a student-run free mental health clinic serving the uninsured in East Harlem |
title_full_unstemmed | Design of and outcomes in a student-run free mental health clinic serving the uninsured in East Harlem |
title_short | Design of and outcomes in a student-run free mental health clinic serving the uninsured in East Harlem |
title_sort | design of and outcomes in a student-run free mental health clinic serving the uninsured in east harlem |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9321276/ https://www.ncbi.nlm.nih.gov/pubmed/35883038 http://dx.doi.org/10.1186/s12888-022-04112-w |
work_keys_str_mv | AT powellsamuelk designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT saalialexandra designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT frerejustin designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT magillelizabeth designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT krystalhannah designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT serafinirandala designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT sultanasyeda designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT dalebrandon designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT alimuhammad designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT kumarvedika designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT dattadebjyoti designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT hernandezantoniojosimar designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT aronsonanne designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT meahyasmins designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT gluhoskivicki designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem AT katzcraigl designofandoutcomesinastudentrunfreementalhealthclinicservingtheuninsuredineastharlem |