Evidence map›Paper›PMID 33118187›Full record

ArticleHealth services research2021

Behavioral health home impact on transitional care and readmissions among adults with serious mental illness.

Alene Kennedy-Hendricks, Sachini Bandara, Gail L Daumit, Alisa B Busch, Elizabeth M Stone, Elizabeth A Stuart, Karly A Murphy, Emma E McGinty

Abstract read
In one paragraph

Article in Health services research, 2021. 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

8 authors.

Alene Kennedy-HendricksDepartment of Health Policy and Management, Johns Hopkins Center for Mental Health and Addiction Policy, Baltimore, Maryland, USA.ORCID 0000-0001-5747-0538
Sachini BandaraDepartment of Mental Health, Johns Hopkins Center for Mental Health and Addiction Policy, Baltimore, Maryland, USA.
Gail L DaumitDepartment of Medicine, ALACRITY Center for Health and Longevity in Mental Illness, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Alisa B BuschMcLean Hospital, Harvard Medical School, Belmont, Massachusetts, USA.
Elizabeth M StoneDepartment of Health Policy and Management, Johns Hopkins Center for Mental Health and Addiction Policy, Baltimore, Maryland, USA.
Elizabeth A StuartDepartment of Mental Health, ALACRITY Center for Health and Longevity in Mental Illness, Johns Hopkins Center for Mental Health and Addiction Policy, Baltimore, Maryland, USA.
Karly A MurphyDepartment of Medicine, ALACRITY Center for Health and Longevity in Mental Illness, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Emma E McGintyDepartment of Health Policy and Management, ALACRITY Center for Health and Longevity in Mental Illness, Johns Hopkins Center for Mental Health and Addiction Policy, Baltimore, Maryland, USA.

Funding

Using an innovative quality improvement process to increase delivery of evidenced-based CVD risk factor care in community mental health organizationsP50MH115842 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Elizabeth A. Stuart · 2018 to 2026
$16.2M
Mental Health Services and Systems Training ProgramT32MH109436 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Matthew Eisenberg, Elizabeth A. Stuart · 2017 to 2026
$1.7M
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 P50 MH115842NIMH NIH HHS R24 MH102822NIMH NIH HHS T32 MH109436
6 · The paper itself

Abstract

objectiveTo evaluate the impact of Maryland's behavioral health homes (BHHs) on receipt of follow-up care and readmissions following hospitalization among Medicaid enrollees with serious mental illness (SMI). DATA SOURCES: Maryland Medicaid administrative claims for 12 232 individuals. STUDY

designWeighted marginal structural models were estimated to account for time-varying exposure to BHH enrollment and time-varying confounders. These models compared changes over time in outcomes among BHH and comparison participants. Outcome measures included readmissions and follow-up care within 7 and 30 days following hospitalization. DATA COLLECTION/EXTRACTION

methodsEligibility criteria included continuous enrollment in Medicaid for the first two years of the study period; 21-64 years; and use of psychiatric rehabilitation services. PRINCIPAL

findingsOver three years, BHH enrollment was associated with 3.8 percentage point (95% CI: 1.5, 6.1) increased probability of having a mental health follow-up service within 7 days of discharge from a mental illness-related hospitalization and 1.9 percentage point (95% CI: 0.0, 3.9) increased probability of having a general medical follow-up within 7 days of discharge from a somatic hospitalization. BHHs had no effect on probability of readmission.

conclusionsBHHs may improve follow-up care for Medicaid enrollees with SMI, but effects do not translate into reduced risk of readmission.

Indexed as

AdultCounselorsFemaleHumansInsurance Claim ReviewMaleMarylandMedicaidMental DisordersMental Health ServicesMiddle AgedPatient-Centered CarePatient ReadmissionSeverity of Illness IndexSocial WorkersTransitional CareaftercareMedicaidmental disordersmental healthpatient readmissionpsychiatric rehabilitation

Identifiers

PMID33118187
PMCPMC8143677

What OpenQuestion holds

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Registered trials

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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.