Evidence map›Paper›PMID 38846738›Full record

ArticleEthnicity & disease2023

Technologic and Nontechnologic Barriers to Implementing Behavioral Health Homes in Community Mental Health Settings During the COVID-19 Pandemic.

Emily M Woltmann, Brianna Osorio, Christina T Yuan, Gail L Daumit, Amy M Kilbourne

Abstract read
In one paragraph

Article in Ethnicity & disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

5 authors.

Emily M WoltmannDepartment of Learning Health Sciences, Michigan Medicine, University of Michigan, Ann Arbor, MI.
Brianna OsorioDepartment of Learning Health Sciences, Michigan Medicine, University of Michigan, Ann Arbor, MI.
Christina T YuanDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Gail L DaumitDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Amy M KilbourneDepartment of Learning Health Sciences, Michigan Medicine, University of Michigan, Ann Arbor, MI.

Funding

Reducing disparities in cardiovascular health in community mental health settings: optimizing implementation strategiesUH3HL154280 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Gail L. Daumit, AMY M KILBOURNE · 2023 to 2026
$4.9M
Achieving Cardiovascular Health Equity in Community Mental Health: Optimizing Implementation StrategiesUG3HL154280 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI DAUMIT, GAIL L., KILBOURNE, AMY M · 2020 to 2022
$3.4M
NHLBI NIH HHS UG3 HL154280NHLBI NIH HHS UH3 HL154280
6 · The paper itself

Abstract

Background: Persons with serious mental illnesses (SMIs) experience disparities in health care and are more likely to die from physical health conditions than the general population. Behavioral health homes are used in public sector mental health programs to deploy collaborative care to improve physical health for those with SMIs. During the COVID-19 pandemic, these programs faced new challenges in delivering care to this vulnerable group. Purpose: To describe barriers to implementing or sustaining behavioral health homes, experienced by community mental health workers during the COVID-19 pandemic, and the strategies used to address these challenges. Methods: In-depth qualitative interviews were conducted among the behavioral health workforce in Maryland and Michigan community mental health programs. Interview questions were derived from the Consolidated Framework for Implementation Research (CFIR), and responses related to implementing and sustaining health homes during the pandemic were coded and themes were analyzed by using an inductive approach. Results: Overall, 72 staff members across 21 sites in Maryland and Michigan were interviewed. Implementation barriers/strategies identified occurred across multiple CFIR domains (client, mental health system, physical health system). Interviewees discussed technologic and nontechnologic challenges as well as strategies to address technology issues. Strategies were more frequently discussed by providers when the barrier was viewed at the client level (eg, low technology literacy) versus the broader system (eg, canceled primary care visits). Conclusions: Community mental health staff described barriers beyond technology in caring for individuals with SMIs and physical health conditions. Further research should examine how implementation strategies address both technologic and nontechnologic barriers to collaborative care.

Indexed as

Community Mental Health ServicesCOVID-19FemaleHumansInterviews as TopicMaleMarylandMental DisordersMichiganPandemicsQualitative ResearchSARS-CoV-2Access to CareCommunity Mental Health ServicesCOVID-19Implementation ScienceTelehealth

Identifiers

PMID38846738
PMCPMC11895544

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.