ArticlePloS one2025
A remote care navigation solution associated with improved utilization and outcomes of mental healthcare: A nationwide cohort study in the USA.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine how clinical care navigation-assistance in accessing healthcare and social services-relates to mental healthcare utilization and clinical outcomes, and whether effects are consistent for people of color.
methodsThis retrospective cohort study included participants using a digital mental health benefit (Spring Health), sponsored by 2,045 US employers from 2018-2023. Participants had access to therapists and Care Navigators, clinicians who help select treatment options and schedule appointments. Primary measures were care utilization (conversion to care, multiple-session attendance) and clinical effectiveness (treatment duration, PHQ-9 depression scale, GAD-7 anxiety scale).
results36,964 participants had at least 1 mental health assessment and complete demographic information. 13,122 participants who used care navigation were matched to 23,842 participants who did not with 1:2 propensity score matching using demographic and clinical characteristics. Care navigation was associated with increased therapy utilization (OR, 7.10; 95% CI, 3.36-15.00, P < 0.001), multiple-session attendance (OR, 1.57; 95% CI, 1.46-1.69, P < 0.001), number of treatment sessions (IRR, 1.36; 95% CI, 1.33-1.39, P < 0.001), additional clinical improvement (depression: 0.93 points, 95% CI, 0.11-1.75; anxiety: 0.87 points, 95% CI, 0.12-1.62) compared to therapy alone for participants with severe baseline symptoms. White participants and participants of color had similar outcomes.
conclusionsParticipants using care navigation had improved mental healthcare utilization, retention, and reduced depression and anxiety, which was consistent for people of color. Clinical implementation of care navigation may be associated with greater engagement in care, a key requisite for improving treatment outcomes.
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