Integrated primary and community mental health care for young adults with serious mental illness: A program evaluation

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Autori principali: Gillian L. Sowden, Joelle C. Ferron, Sarah I. Pratt, Kerri R. Swenson, Julianne Carbin, Minda A. Gowarty, Alisa G. Tvorun Dunn, Todd A. MacKenzie, Mary F. Brunette
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Pubblicazione: Wiley 2024
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author Gillian L. Sowden
Joelle C. Ferron
Sarah I. Pratt
Kerri R. Swenson
Julianne Carbin
Minda A. Gowarty
Alisa G. Tvorun Dunn
Todd A. MacKenzie
Mary F. Brunette
author_facet Gillian L. Sowden
Joelle C. Ferron
Sarah I. Pratt
Kerri R. Swenson
Julianne Carbin
Minda A. Gowarty
Alisa G. Tvorun Dunn
Todd A. MacKenzie
Mary F. Brunette
Gillian L. Sowden
Joelle C. Ferron
Sarah I. Pratt
Kerri R. Swenson
Julianne Carbin
Minda A. Gowarty
Alisa G. Tvorun Dunn
Todd A. MacKenzie
Mary F. Brunette
collection Wiley Open Access
contents Integrated primary and community mental health care for young adults with serious mental illness: A program evaluation Gillian L. Sowden Joelle C. Ferron Sarah I. Pratt Kerri R. Swenson Julianne Carbin Minda A. Gowarty Alisa G. Tvorun Dunn Todd A. MacKenzie Mary F. Brunette Early Intervention in Psychiatry Abstract Aim Young adults with serious mental illness (SMI) have poor physical health and high Emergency Department (ED) and hospital utilization. Integrating primary care into community mental health care may be an important form of early intervention. Methods Adjusted multivariable regressions assessed changes in self‐reported annual primary care, ED and hospital utilization for 83 young adults with SMI enrolled in integrated care. Results Participants' mean annual per person utilization changed significantly as follows: primary care visits, from 1.8 to 3.6, p  < .001; medical ED visits, from 1.0 to 0.6, p  < .01; psychiatric ED visits from 0.6 to 0.2, p  < .001; medical inpatient days, from 1.2 to 0.1, p  < .001 and psychiatric inpatient days, from 6.3 to 2.6, p  < .001. Conclusions Young adults with SMI receiving integrated care increased primary care and reduced ED and inpatient utilization. Future controlled research is warranted to further assess integrated care for young adults with SMI. 10.1111/eip.13601 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/eip.13601
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publisher Wiley
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spellingShingle Integrated primary and community mental health care for young adults with serious mental illness: A program evaluation
Gillian L. Sowden
Joelle C. Ferron
Sarah I. Pratt
Kerri R. Swenson
Julianne Carbin
Minda A. Gowarty
Alisa G. Tvorun Dunn
Todd A. MacKenzie
Mary F. Brunette
Early Intervention in Psychiatry
Integrated primary and community mental health care for young adults with serious mental illness: A program evaluation Gillian L. Sowden Joelle C. Ferron Sarah I. Pratt Kerri R. Swenson Julianne Carbin Minda A. Gowarty Alisa G. Tvorun Dunn Todd A. MacKenzie Mary F. Brunette Early Intervention in Psychiatry Abstract Aim Young adults with serious mental illness (SMI) have poor physical health and high Emergency Department (ED) and hospital utilization. Integrating primary care into community mental health care may be an important form of early intervention. Methods Adjusted multivariable regressions assessed changes in self‐reported annual primary care, ED and hospital utilization for 83 young adults with SMI enrolled in integrated care. Results Participants' mean annual per person utilization changed significantly as follows: primary care visits, from 1.8 to 3.6, p  < .001; medical ED visits, from 1.0 to 0.6, p  < .01; psychiatric ED visits from 0.6 to 0.2, p  < .001; medical inpatient days, from 1.2 to 0.1, p  < .001 and psychiatric inpatient days, from 6.3 to 2.6, p  < .001. Conclusions Young adults with SMI receiving integrated care increased primary care and reduced ED and inpatient utilization. Future controlled research is warranted to further assess integrated care for young adults with SMI. 10.1111/eip.13601 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Integrated primary and community mental health care for young adults with serious mental illness: A program evaluation
topic Early Intervention in Psychiatry
url https://onlinelibrary.wiley.com/doi/10.1111/eip.13601