Health Care Decisions among Mental Health Services Consumers in San Diego County: Implications for Integrated Care

Abstract People living with serious mental illness are at elevated risk for chronic diseases compared with those in the general population. Whether integrated care for this population would be most accessible in primary care or mental health settings is unclear. The cross-sectional study described i...

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Bibliographic Details
Published in:Health & social work 2017-02, Vol.42 (1), p.48-56
Main Authors: Siantz, Elizabeth, Henwood, Benjamin, Xu, Zhun, Sarkin, Andrew, Gilmer, Todd
Format: Article
Language:English
Subjects:
Access
Chronic illnesses
Consumers
Continuity of Patient Care
Cross-Sectional Studies
Decisions
Disease
Ethnic groups
Health services
Health Services Accessibility
Health services utilization
Humans
Medical decision making
Mental disorders
Mental Disorders - complications
Mental health
Mental health care
Mental Health Programs
Mental Health Services
Multiculturalism & pluralism
Physical Health
Primary care
Primary Health Care
Public health
Regression analysis
Risk assessment
Social workers
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Summary:Abstract People living with serious mental illness are at elevated risk for chronic diseases compared with those in the general population. Whether integrated care for this population would be most accessible in primary care or mental health settings is unclear. The cross-sectional study described in this article used descriptive analyses and multinomial logistic regression to assess factors associated with using physical health services from primary or mental health providers. Data were drawn from a large-scale assessment of client-reported use of primary care services in a large and ethnically diverse public mental health system. Most people (80.4 percent) reported accessing primary care services from one or more service settings. Having chronic conditions was associated with accessing physical health care from multiple service settings, whereas having poor self-rated emotional health decreased health services use from any setting. It was concluded that mental health services consumers access health care from various service settings. Social workers can play a critical role in enhancing care coordination across the mental health and primary care systems.
ISSN:0360-7283
1545-6854
DOI:10.1093/hsw/hlw060