ArticleGeneral hospital psychiatry
Impact of a mental health based primary care program on emergency department visits and inpatient stays.
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 16 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings.Frontiers in health services · 2025Pooled it
- Systematic Review of the Impact of Behavioral Health Homes on Cardiometabolic Risk Factors for Adults With Serious Mental Illness.Psychiatric services (Washington, D.C.) · 2020Pooled it
- Health Characteristics of Emerging and Young Adults with SMI.Community mental health journal · 2026Article
- Impact of Primary Care Mental Health Management on Emergency Psychiatric Presentations: A Systematic Review.Cureus · 2025Review
- Assessing the impact of an innovate behavioral health clinic: a retrospective cohort study.BMC psychiatry · 2025Article
- Medicare Accountable Care Organization Treatment of Serious Mental Illness: Associations Between Behavioral Health Integration Activities and Outcomes.Medical care · 2025Article
- The prevalence and risk factors of sleep disturbances among mental health patients following hospital discharge.Frontiers in public health · 2025Article
- Interventions to Reduce Repeat Presentations to Hospital Emergency Departments for Mental Health Concerns: A Scoping Review of the Literature.Healthcare (Basel, Switzerland) · 2023Article
- Innovations in Care Delivery for Patients With Serious Mental Illness Among Accountable Care Organizations.Psychiatric services (Washington, D.C.) · 2022Article
- Risk of Negative Health Outcomes and High Costs for People With Diabetes and Unmet Psychological Needs in the United States.Diabetes spectrum : a publication of the American Diabetes Association · 2022Article
- Impact of the 1115 behavioral health Medicaid waiver on adult Medicaid beneficiaries in New York State.Health services research · 2021Article
- Providing Health Physicals and/or Health Monitoring Services in Mental Health Clinics: Impact on Laboratory Screening and Monitoring for High Risk Populations.Administration and policy in mental health · 2021Article
- Improving Outcomes of Care for HRSA-Funded Health Center Patients Who Have Mental Health Conditions and Substance Use Disorders.The journal of behavioral health services & research · 2020Article
- The Policy Ecology of Behavioral Health Homes: Case Study of Maryland's Medicaid Health Home Program.Administration and policy in mental health · 2020Article
- Physical health outcomes and implementation of behavioural health homes: a comprehensive review.International review of psychiatry (Abingdon, England) · 2018Review
- Need for Cardiovascular Risk Reduction in Persons With Serious Mental Illness: Design of a Comprehensive Intervention.Frontiers in psychiatry · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveIntegrating primary care services into specialty mental health clinics has been proposed as a method for improving health care utilization for medical conditions by adults with serious mental illness. This paper examines the impact of a mental health based primary care program on emergency department (ED) visits and hospitalizations.
methodThe program was implemented in seven New York City outpatient mental health clinics in two waves. Medicaid claims were used to identify patients treated in intervention clinics and a control group of patients treated in otherwise similar clinics in New York City. Impacts of the program were estimated using propensity score adjusted difference-in-differences models on a longitudinally followed cohort.
resultsHospital stays for medical conditions increased significantly in intervention clinics relative to control clinics in both waves (ORs = 1.21 (Wave 1) and 1.33 (Wave 2)). ED visits for behavioral health conditions decreased significantly relative to controls in Wave 1 (OR = 0.89), but not in Wave 2. No other significant differences in utilization trends between the intervention and control clinics were found.
conclusionIntroducing primary care services into mental health clinics may increase utilization of inpatient services, perhaps due to newly identified unmet medical need in this population.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.