Evidence map›Paper›PMID 38850504›Full record

ArticleCommunity mental health journal2024

The Impact of Structural Integration on Clinical Outcomes among Individuals with Serious Mental Illness and Chronic Illness.

Elizabeth B Matthews, Viktor Lushin, Eliza Macneal, Steve C Marcus

Abstract read
In one paragraph

Article in Community mental health journal, 2024. 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
–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

1 citing paper in PubMed.

  1. Implementation science in integrated behavioral health: Charting the road ahead.Families, systems & health : the journal of collaborative family healthcare · 2025
    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

4 authors.

Elizabeth B MatthewsGraduate School of Social Service, Fordham University, 113 W. 60th St, New York, NY, 10023, USA. ematthews13@fordham.edu.ORCID 0000-0002-7261-1965
Viktor LushinNational Institutes of Mental Health, 6001 Executive Boulevard, MSC 9663, Bethesda, MD, 20892-9663, USA.
Eliza MacnealCenter for Mental Health, University of Pennsylvania, 3535 Market St, Philadelphia, PA, 19104, USA.
Steve C MarcusCenter for Mental Health, University of Pennsylvania, 3535 Market St, Philadelphia, PA, 19104, USA.

Funding

Leonard David Institute for Health Economics NARobert Wood Johnson Foundation 78967
6 · The paper itself

Abstract

Though considered a best practice, there is substantial variation in how integrated behavioral health (IBH) services are structured. This study examined the impact of IBH structure on health outcomes among individuals with serious mental illness (SMI) and chronic disease receiving care in community health centers (CHCs). Data from the ADVANCE network identified 8,548 individuals with co-occurring SMI diabetes and 16,600 with an SMI and hypertension. Logistic regression tested whether IBH type impacted disease specific health outcomes among these populations. Among those with diabetes or hypertension, colocated care was associated with better health outcomes related to HbA1c, blood pressure control, and BMI compared to less coordinated and unintegrated care, though there was significant variation in this relationship across SMI diagnoses. Results reflect that colocation of primary care and behavioral health may improve outcomes for individuals with bipolar disorder or major depression and chronic disease, but that CHC-based integrated care may not be optimized for individuals with schizophrenia.

Indexed as

Delivery of Health Care, IntegratedMental DisordersAdultAgedChronic DiseaseCommunity Mental Health ServicesDiabetes MellitusFemaleHumansHypertensionMaleMiddle AgedSchizophreniaChronic diseaseCommunity health centersIntegrated careSerious mental illness

Identifiers

PMID38850504
PMCPMC11408560

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.