Evidence map›Paper›PMID 34074146›Full record

ArticlePsychiatric services (Washington, D.C.)2021

Mental Health Staffing at HRSA-Funded Health Centers May Improve Access to Care.

Amy G Bonilla, Nadereh Pourat, Emmeline Chuang, Susan Ettner, Bonnie Zima, Xiao Chen, Connie Lu, Hank Hoang, Brionna Y Hair, Joshua Bolton and 1 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

11 authors at 1 institution in 1 country.

Amy G BonillaDepartment of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).
Nadereh PouratDepartment of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).
Emmeline ChuangDepartment of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).
Susan EttnerDepartment of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).
Bonnie ZimaDepartment of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).
Xiao ChenDepartment of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).
Connie LuDepartment of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).
Hank HoangDepartment of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).
Brionna Y HairDepartment of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).
Joshua BoltonDepartment of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).
Alek SripipatanaDepartment of Health Policy and Management, Fielding School of Public Health (Bonilla, Pourat, Chuang, Ettner); Center for Health Policy Research (Pourat, Chen, Lu); Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior (Zima); Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Ettner); Department of Psychiatry and Behavioral Sciences, David Geffen School of Medicine (Zima), all at University of California, Los Angeles, Los Angeles; Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services (Hoang, Hair, Bolton, Sripipatana).
Department of Health · TW

Funding

UCLA/RAND HEALTH SERVICES RESEARCH TRAINING PROGRAMT32HS000046 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EISENBERG, DANIEL · 1992 to 2024
$8.7M
NRSA Training CoreTL1TR001883 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ALEX BUI, Nina Thawata Harawa · 2016 to 2026
$8.6M
UCLA Clinical and Translational Science InstituteTL1TR000121 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$2.7M
AHRQ HHS T32 HS000046NCATS NIH HHS TL1 TR000121NCATS NIH HHS TL1 TR001883
6 · The paper itself

Abstract

objectiveThe study objective was to examine the association between mental health staffing at health centers funded by the Health Resources and Services Administration (HRSA) and patients' receipt of mental health treatment.

methodsData were from the 2014 HRSA-funded Health Center Patient Survey and the 2013 Uniform Data System. Colocation of any mental health staff, including psychiatrists, psychologists, and other licensed staff, was examined. The outcomes of interest were whether a patient received any mental treatment and received any such treatment on site (at the health center). Analyses were conducted with multilevel generalized structural equation logistic regression models for 4,575 patients ages 18-64.

resultsPatients attending health centers with at least one mental health full-time equivalent (FTE) per 2,000 patients had a higher predicted probability of receiving mental health treatment (32%) compared with those attending centers with fewer than one such FTE (24%) or no such staffing (22%). Among patients who received this treatment, those at health centers with no staffing had a significantly lower predicted probability of receiving such treatment on site (28%), compared with patients at health centers with fewer than one such FTE (49%) and with at least one such FTE (65%). The predicted probability of receiving such treatment on site was significantly higher if there was a colocated psychiatrist versus no psychiatrist (58% versus 40%).

conclusionsColocating mental health staff at health centers increases the probability of patients' access to such treatment on site as well as from off-site providers.

Indexed as

Mental HealthPsychiatryAdolescentAdultHealth Services AccessibilityHumansMiddle AgedUnited StatesUnited States Health Resources and Services AdministrationWorkforceYoung AdultMental illness and alcohol/drug abusePrimary care

Identifiers

PMID34074146
PMCPMC8410613
OpenAlexW3164789216

What OpenQuestion holds

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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.