Evidence map›Paper›PMID 29316449›Full record

ArticleGeneral hospital psychiatry

Integrating physical health: What were the costs to behavioral health care clinics?

Kathryn L Connor, Joshua Breslau, Molly T Finnerty, Emily Leckman-Westin, Riti Pritam, Hao Yu

Abstract read
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kathryn L ConnorRAND Corporation, 4570 Fifth Avenue, Suite Pittsburgh, PA 15213, USA. Electronic address: kconnor@rand.org.
Joshua BreslauRAND Corporation, 4570 Fifth Avenue, Suite Pittsburgh, PA 15213, USA. Electronic address: jbreslau@rand.org.
Molly T FinnertyNew York State Office of Mental Health, Capital District Psychiatric Center, 75 New Scotland Avenue, Albany, NY 12208, USA. Electronic address: Molly.Finnerty@omh.ny.gov.
Emily Leckman-WestinNew York State Office of Mental Health, Capital District Psychiatric Center, 75 New Scotland Avenue, Albany, NY 12208, USA. Electronic address: Emily.Leckman-Westin@omh.ny.gov.
Riti PritamNew York State Office of Mental Health, Capital District Psychiatric Center, 75 New Scotland Avenue, Albany, NY 12208, USA. Electronic address: riti.pritam@omh.ny.gov.
Hao YuRAND Corporation, 4570 Fifth Avenue, Suite Pittsburgh, PA 15213, USA. Electronic address: haoyu@rand.org.

Funding

INTEGRATING PHYSICAL AND MENTAL CARE FOR ADULTS WITH SERIOUS MENTAL ILLNESSR01MH102379 · NIMH · RAND CORPORATION · PI BRESLAU, JOSHUA A, YU, HAO · 2014 to 2017
$1.8M
NIMH NIH HHS R01 MH102379
6 · The paper itself

Abstract

objectiveTo inform providers and policy-makers about the potential costs of providing physical health care in mental health clinics.

methodsCost data were collected through interviews with 22 behavioral health clinics participating in New York State Office of Mental Health's health monitoring and health physicals programs. The interview data was combined with financial reporting data provided to the state to identify per interaction costs for two levels of physical health services: health monitoring and health monitoring plus health physicals.

resultsThis study gives detailed information on the costs of clinics' health integration programs, including per interaction costs related to direct service, charting and administration, and total care coordination. Average direct costs per client interaction were 3 times higher for health physicals than for health monitoring.

conclusionsCosts of integrating physical care services are not trivial to mental health clinics, and may pose a barrier to widespread adoption. Provision of limited health monitoring services is less expensive for clinics, but generates proportionally large non-clinical costs than health physicals. The relative health impact of this more limited approach is an important area for future study. Also, shifting reimbursement to include health care coordination time may improve program sustainability.

Indexed as

Delivery of Health Care, IntegratedMedicaidMental Health ServicesHealth Care CostsHumansPrimary Health CareUnited StatesCost analysisIntegrated careMedicaidSerious mental illness

Identifiers

PMID29316449
PMCPMC5869100

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.