A Randomized Clinical Trial Investigating the Effect of a Healthcare Access Model for Individuals with Severe Psychiatric Disabilities

E Sally Rogers¹, Mihoko Maru^{2

3}, Megan Kash-MacDonald^{2

4}, Mariah Archer-Williams^{2

5}, Lobat Hashemi^{2

6}, Judith Boardman^{7

8}

Affiliations

¹ Center for Psychiatric Rehabilitation, Boston University, 940 Commonwealth Ave, West, Boston, MA, USA. erogers@bu.edu.
² Center for Psychiatric Rehabilitation, Boston University, 940 Commonwealth Ave, West, Boston, MA, USA.
³ Boston University School of Social Work, Boston, MA, USA.
⁴ Institute of Child Health, University College London (UCL), London, England.
⁵ Sharp HealthCare, San Diego, CA, USA.
⁶ Genzyme, Sanofi, Boston, MA, USA.
⁷ Northeast Health Systems/Health and Education Services, Inc., Beverly, MA, USA.
⁸ Salem State University, Salem, MA, USA.

PMID: 27137507
DOI: 10.1007/s10597-016-0009-3

Randomized Controlled Trial

A Randomized Clinical Trial Investigating the Effect of a Healthcare Access Model for Individuals with Severe Psychiatric Disabilities

E Sally Rogers et al. Community Ment Health J. 2016 Aug.

. 2016 Aug;52(6):667-74.

doi: 10.1007/s10597-016-0009-3. Epub 2016 May 2.

Authors

E Sally Rogers¹, Mihoko Maru^{2

3}, Megan Kash-MacDonald^{2

4}, Mariah Archer-Williams^{2

5}, Lobat Hashemi^{2

6}, Judith Boardman^{7

8}

Affiliations

¹ Center for Psychiatric Rehabilitation, Boston University, 940 Commonwealth Ave, West, Boston, MA, USA. erogers@bu.edu.
² Center for Psychiatric Rehabilitation, Boston University, 940 Commonwealth Ave, West, Boston, MA, USA.
³ Boston University School of Social Work, Boston, MA, USA.
⁴ Institute of Child Health, University College London (UCL), London, England.
⁵ Sharp HealthCare, San Diego, CA, USA.
⁶ Genzyme, Sanofi, Boston, MA, USA.
⁷ Northeast Health Systems/Health and Education Services, Inc., Beverly, MA, USA.
⁸ Salem State University, Salem, MA, USA.

PMID: 27137507
DOI: 10.1007/s10597-016-0009-3

Abstract

We conducted a randomized trial to examine a model for integrating primary care into a community mental health setting. Two hundred individuals were recruited and randomly assigned to receive primary care delivered by a nurse practitioner (n = 94) or services-as-usual (n = 106), assessed on health and mental health outcomes, and followed for 12 months. Intent-to-Treat and exposure analyses were conducted and suggest that participants who engaged with the nurse practitioner experienced gains in perceptions of primary care quality. Health benefits accrued for individuals having receiving nurse practitioner services in a mental health setting to address primary care needs.

Keywords: Coordination of care; Integrated care; Morbidity and mortality; Nurse practitioner; Physical health; Primary care.

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References

1. Psychiatr Serv. 2011 Jul;62(7):800-2 - PubMed
1. Psychiatr Serv. 2002 Jul;53(7):884-7 - PubMed
1. J Clin Psychiatry. 2009 Oct;70(10):1385-96 - PubMed
1. Psychiatr Rehabil J. 2006 Spring;29(4):241-50 - PubMed
1. Am J Orthopsychiatry. 2005 Jan;75(1):54-62 - PubMed

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A Randomized Clinical Trial Investigating the Effect of a Healthcare Access Model for Individuals with Severe Psychiatric Disabilities

Affiliations

A Randomized Clinical Trial Investigating the Effect of a Healthcare Access Model for Individuals with Severe Psychiatric Disabilities

Authors

Affiliations

Abstract

References

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LinkOut - more resources

Full Text Sources

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Medical