Evidence map›Paper›PMID 34015969›Full record

ArticlePsychiatric services (Washington, D.C.)2021

Association Between Enrollment in Maryland's Behavioral Health Homes and Use of Outpatient Mental Health Services.

Rachel Presskreischer, Alene Kennedy-Hendricks, Sachini Bandara, Alisa B Busch, Gail L Daumit, Emma E McGinty

Open access · greenAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 at 1 institution in 1 country.

Rachel PresskreischerDepartment of Health Policy and Management (Presskreischer, Kennedy-Hendricks, McGinty), and Department of Mental Health (Bandara), Johns Hopkins Bloomberg School of Public Health, Baltimore; McLean Hospital, Belmont, Massachusetts, and Department of Healthcare Policy, Harvard Medical School, Boston (Busch); Division of General Internal Medicine and Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore (Daumit).
Alene Kennedy-HendricksDepartment of Health Policy and Management (Presskreischer, Kennedy-Hendricks, McGinty), and Department of Mental Health (Bandara), Johns Hopkins Bloomberg School of Public Health, Baltimore; McLean Hospital, Belmont, Massachusetts, and Department of Healthcare Policy, Harvard Medical School, Boston (Busch); Division of General Internal Medicine and Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore (Daumit).
Sachini BandaraDepartment of Health Policy and Management (Presskreischer, Kennedy-Hendricks, McGinty), and Department of Mental Health (Bandara), Johns Hopkins Bloomberg School of Public Health, Baltimore; McLean Hospital, Belmont, Massachusetts, and Department of Healthcare Policy, Harvard Medical School, Boston (Busch); Division of General Internal Medicine and Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore (Daumit).
Alisa B BuschDepartment of Health Policy and Management (Presskreischer, Kennedy-Hendricks, McGinty), and Department of Mental Health (Bandara), Johns Hopkins Bloomberg School of Public Health, Baltimore; McLean Hospital, Belmont, Massachusetts, and Department of Healthcare Policy, Harvard Medical School, Boston (Busch); Division of General Internal Medicine and Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore (Daumit).
Gail L DaumitDepartment of Health Policy and Management (Presskreischer, Kennedy-Hendricks, McGinty), and Department of Mental Health (Bandara), Johns Hopkins Bloomberg School of Public Health, Baltimore; McLean Hospital, Belmont, Massachusetts, and Department of Healthcare Policy, Harvard Medical School, Boston (Busch); Division of General Internal Medicine and Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore (Daumit).
Emma E McGintyDepartment of Health Policy and Management (Presskreischer, Kennedy-Hendricks, McGinty), and Department of Mental Health (Bandara), Johns Hopkins Bloomberg School of Public Health, Baltimore; McLean Hospital, Belmont, Massachusetts, and Department of Healthcare Policy, Harvard Medical School, Boston (Busch); Division of General Internal Medicine and Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore (Daumit).
Johns Hopkins University · US

Funding

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 R24 MH102822NIMH NIH HHS T32 MH109436
6 · The paper itself

Abstract

objectiveThis study examined the association between enrollment in Maryland's behavioral health home (BHH) program and use of outpatient mental health services among people with serious mental illness.

methodsThe study sample, drawn from Maryland Medicaid administrative claims data from 2012 through 2017, included 12,232 individuals ages 21-64 with a serious mental illness who were enrolled in a BHH (N=3,319) or never enrolled (N=8,913). A marginal structural modeling approach with inverse probability of treatment weighting was used to examine the association between BHH enrollment and outpatient mental health utilization, measured as the number of visits per 3-month period.

resultsBHH enrollment was associated with 0.8 additional outpatient mental health visits per 3-month period, or approximately three additional visits annually.

conclusionsA specialty mental health system-based health home model with a primary goal of improving access to general medical care was associated with increased use of outpatient mental health services.

Indexed as

Mental DisordersMental Health ServicesPsychiatryAdultHumansMarylandMedicaidMiddle AgedOutpatientsUnited StatesYoung AdultMental health systems/hospitalsPublic policy issues

Identifiers

PMID34015969
PMCPMC8570965
OpenAlexW3160690633

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.