Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Feb 1;65(2):160-166.
doi: 10.1097/JOM.0000000000002707. Epub 2022 Oct 3.

Facilitating Mental Health Treatment Through Proactive Screening and Concierge Services in the Workplace

Maren S Fragala  1 , Carmen H Tong, Jennifer L Hunter, Nicole A Jelovic, Joanna I Hayward, Susan Carr, Paul M Kim, Matthew E Peters, Charles E Birse
Affiliations

Facilitating Mental Health Treatment Through Proactive Screening and Concierge Services in the Workplace

Maren S Fragala et al. J Occup Environ Med. .

Abstract

Objective: The aim of this study is to determine if a proactive employer-sponsored mental health program closed gaps in detection and treatment of mental health conditions.

Methods: Of n = 56,442 eligible, n = 8170 (14.5%) participated in the optional screening. Participants with mental health risk were offered care concierge services including support, care planning, and connection to care. Difference in behavioral health care utilization, diagnoses, and prescriptions were evaluated postintervention through claims analysis.

Results: Compared with controls (n = 2433), those receiving concierge services (n = 369) were more likely to fill mental health prescriptions (adjusted hazards ratio [HR], 1.2; 1.0-1.5; P = 0.042), use professional mental health services (adjusted HR, 1.4; 1.1-1.8; P = 0.02), and use new mental health services (adjusted HR, 1.9; 1.2-2.8; P = 0.004) in the following 6 months.

Conclusions: This proactive mental health program with care concierge services identified risk, connected individuals to mental health care, and facilitated mental health treatment, among program participants.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: M.S.F. and C.E.B. are employed by and has stock ownership in Quest Diagnostics. J.L.H. holds stock in and serves on the Board of Directors for Emvitals Inc. Emvitals was a paid vendor of Johns Hopkins Healthcare Solutions (JHHS) and provided the Emvitals technology platform, which was white labeled by JHHS, and sold to Quest Diagnostics in support of its employee well-being programs; we were not paid for any aspect of the research analysis and research paper preparation. N.A.J. is employed by and owns stock in Emvitals Inc. M.E.P. engaged in this research as part of his faculty position at Johns Hopkins, but was previously an advisor for, and has stock ownership in, Emvitals Inc. J.I.H. and P.M.K. report no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Participant flowchart.
FIGURE 2
FIGURE 2
Cumulative incidence of mental health prescriptions.
FIGURE 3
FIGURE 3
Cumulative incidence of mental health professional services.
See this image and copyright information in PMC

References

    1. Williams SZ, Chung GS, Muennig PA. Undiagnosed depression: a community diagnosis. SSM Popul Health. 2017;3:633–638. - PMC - PubMed
    1. Kohn R, Saxena S, Levav I, Saraceno B. The treatment gap in mental health care. Bull World Health Organ. 2004;82:858–866. - PMC - PubMed
    1. Kohn R Ali AA Puac-Polanco V, et al. Mental health in the Americas: an overview of the treatment gap. Rev Panam Salud Publica. 2018;42:e165. - PMC - PubMed
    1. US Government Accoutability Office . Behavioral health: research on health care costs of untreated conditions is limited. 2019. Available from: https://www.gao.gov/products/gao-19-274#. Accessed April 29, 2022.
    1. Andrilla CHA, Patterson DG, Garberson LA, Coulthard C, Larson EH. Geographic variation in the supply of selected behavioral health providers. Am J Prev Med. 2018;54(6 Suppl 3):S199–S207. - PubMed