Evidence map›Paper›PMID 29316451›Full record

ArticleGeneral hospital psychiatry

An innovative model to coordinate healthcare and social services for people with serious mental illness: A mixed-methods case study of Maryland's Medicaid health home program.

Emma E McGinty, Alene Kennedy-Hendricks, Sarah Linden, Seema Choksy, Elizabeth Stone, Gail L Daumit

Open access · greenAbstract 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 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% of its field
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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  6. Bridging Gaps: Provider Perspectives on Integrating Systems for Health Equity.International journal of environmental research and public health · 2025
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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 at 2 institutions in 1 country.

Emma E McGintyDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room 359, Baltimore, MD 21205, United States. Electronic address: bmcginty@jhu.edu.
Alene Kennedy-HendricksDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, United States.
Sarah LindenDivision of General Internal Medicine, Johns Hopkins School of Medicine, United States.
Seema ChoksyDivision of General Internal Medicine, Johns Hopkins School of Medicine, United States.
Elizabeth StoneDivision of General Internal Medicine, Johns Hopkins School of Medicine, United States.
Gail L DaumitDivision of General Internal Medicine, Johns Hopkins School of Medicine, United States.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

Trial of Integrated Smoking Cessation, Exercise, and Weight Management in SMIR01MH104553 · NIMH · JOHNS HOPKINS UNIVERSITY · PI DAUMIT, GAIL L., EVINS, A EDEN · 2014 to 2018
$3.4M
Developing and Translating Interventions to Decrease Mortality Disparities in SMIK24MH093763 · NIMH · JOHNS HOPKINS UNIVERSITY · PI DAUMIT, GAIL L. · 2012 to 2016
$830k
Improving Evidence-based Behavioral, Somatic and Social Service Delivery for SMIK01MH106631 · NIMH · JOHNS HOPKINS UNIVERSITY · PI MCGINTY, EMMA ELIZABETH · 2015 to 2018
$711k
Statewide Implementation of Health Homes for SMI:Building Research InfrastructureR24MH102822 · NIMH · JOHNS HOPKINS UNIVERSITY · PI DAUMIT, GAIL L. · 2013 to 2013
$342k
NIMH NIH HHS K01 MH106631NIMH NIH HHS K24 MH093763NIMH NIH HHS R01 MH104553NIMH NIH HHS R24 MH102822
6 · The paper itself

Abstract

objectiveWe conducted a case study examining implementation of Maryland's Medicaid health home program, a unique model for integration of behavioral, somatic, and social services for people with serious mental illness (SMI) in the psychiatric rehabilitation program setting.

methodWe conducted interviews and surveys with health home leaders (N=72) and front-line staff (N=627) representing 46 of the 48 total health home programs active during the November 2015-December 2016 study period. We measured the structural and service characteristics of the 46 health home programs and leaders' and staff members' perceptions of program implementation.

resultsHealth home program structure varied across sites: for example, 15% of programs had co-located primary care providers and 76% had onsite supported employment providers. Most leaders and staff viewed the health home program as having strong organizational fit with psychiatric rehabilitation programs' organizational structures and missions, but noted implementation challenges around health IT, population health management, and coordination with external providers.

conclusionMaryland's psychiatric rehabilitation-based health home is a promising model for integration of behavioral, somatic, and social services for people with SMI but may be strengthened by additional policy and implementation supports, including incentives for external providers to engage in care coordination with health home providers.

Indexed as

Delivery of Health Care, IntegratedMedicaidMental Health ServicesPrimary Health CarePsychiatric RehabilitationSocial WorkHumansMarylandMental DisordersUnited StatesHealthcare policyIntegrated careSerious mental illness

Identifiers

PMID29316451
PMCPMC5869105
OpenAlexW2771628172

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.