Chronic Disease Screening and Prevention Activities in Mental Health Clinics in New York State: Current Practices and Future Opportunities
Tóm tắt
To understand mental health clinics’ chronic disease screening and prevention activities, we surveyed mental health clinics in New York State regarding 16 preventive services. Both numerical and qualitative data were collected. Responding clinics (123, 24.7%) were most likely to report having up-to-date screening/management of tobacco use (114, 92.7%) and were most likely to refer out for infectious disease and cancer screening (57.7%–62.6%). Compared to private/non-profit clinics, county- and state-operated clinics were more likely to refer out for infectious disease screening and to ensure up-to-date: lipid disorder screening, abnormal glucose screening, HIV screening, and cancer screenings. Clinics reported a need for: (1) hiring more (dedicated) medical staff; (2) providing staff trainings; (3) educating patients; and (4) integrating with patients’ primary care providers. Implementing proven approaches—and developing new ones—for enhanced chronic disease prevention activities through improvements in policy, staffing, and reimbursement is warranted in mental health clinics.
Từ khóa
Tài liệu tham khảo
American Psychiatric Association. (2015). Position statement on the role of psychiatrists in reducing physical health disparities in patients with mental illness.
Bandiera, F. C., Anteneh, B., Le, T., Delucchi, K., & Guydish, J. (2015). Tobacco-related mortality among persons with mental health and substance abuse problems. PLoS ONE,10(3), e0120581. https://doi.org/10.1371/journal.pone.0120581.
Bouchery, E. E., Siegwarth, A. W., Natzke, B., Lyons, J., Miller, R., Ireys, H. T., … Doan, R. (2018). Implementing a whole health model in a community mental health center: Impact on service utilization and expenditures. Psychiatric Services, 69(10), 1075–1080. https://doi.org/10.1176/appi.ps.201700450.
Chassin, M. R., Galvin, R. W., & Donaldson, M. S. (1998). The urgent need to improve health care quality: Institute of Medicine National Roundtable on Health Care Quality. Journal of the American Medical Association,280(11), 1000–1006. https://doi.org/10.1001/jama.280.11.1000.
Crump, C., Sundquist, K., Winkleby, M. A., & Sundquist, J. (2013). Comorbidities and mortality in bipolar disorder: A Swedish national cohort study. JAMA Psychiatry,70(9), 931–939. https://doi.org/10.1001/jamapsychiatry.2013.1394.
Desai, M. M., Rosenheck, R. A., Druss, B. G., & Perlin, J. B. (2002). Mental disorders and quality of diabetes care in the veterans health administration. American Journal of Psychiatry,159(9), 1584–1590. https://doi.org/10.1176/appi.ajp.159.9.1584.
Dickerson, F., Stallings, C. R., Origoni, A. E., Vaughan, C., Khushalani, S., Schroeder, J., et al. (2013). Cigarette smoking among persons with schizophrenia or bipolar disorder in routine clinical settings, 1999–2011. Psychiatric Services,64(1), 44–50. https://doi.org/10.1176/appi.ps.201200143.
Druss, B. G., Bradford, D. W., Rosenheck, R. A., Radford, M. J., & Krumholz, H. M. (2000). Mental disorders and use of cardiovascular procedures after myocardial infarction. Journal of the American Medical Association,283(4), 506–511. https://doi.org/10.1001/jama.283.4.506.
Druss, B. G., Rosenheck, R. A., Desai, M. M., & Perlin, J. B. (2002). Quality of preventive medical care for patients with mental disorders. Medical Care,40(2), 129–136.
Druss, B. G., Von Esenwein, S. A., Compton, M. T., Rask, K. J., Zhao, L., & Parker, R. M. (2010). The Primary Care Access, Referral, and Evaluation (PCARE) study: A randomized trial of medical care management for community mental health settings. American Journal of Psychiatry,167(2), 151–159. https://doi.org/10.1176/appi.ajp.2009.09050691.
Frayne, S. M., Halanych, J. H., Miller, D. R., Wang, F., Lin, H., Pogach, L., … Berlowitz, D. R. (2005). Disparities in diabetes care: Impact of mental illness. Archives of Internal Medicine, 165(22), 2631–2638. https://doi.org/10.1001/archinte.165.22.2631.
Gerrity, M., Zoller, E., Pinson, N., Pettinari, C., & King, V. (2014). Integrating primary care into behavioral health settings: What works for individuals with serious mental illness. New York, NY: Milbank Memorial Fund.
Hackman, A. L., Goldberg, R. W., Brown, C. H., Fang, L. J., Dickerson, F. B., Wohlheiter, K., … Dixon, L. (2014). Use of emergency department services for somatic reasons by people with serious mental illness. Psychiatric Services, 57(4), 563–566. https://doi.org/10.1176/ps.2006.57.4.563.
Ho, S. B., Bräu, N., Cheung, R., Liu, L., Sanchez, C., Sklar, M., … Groessl, E. J. (2015). Integrated care increases treatment and improves outcomes of patients with chronic hepatitis C virus infection and psychiatric illness or substance abuse. Clinical Gastroenterology and Hepatology, 13(11), 2005–14.e1–3. https://doi.org/10.1016/j.cgh.2015.02.022.
Hughes, E., Bassi, S., Gilbody, S., Bland, M., & Martin, F. (2016). Prevalence of HIV, hepatitis B, and hepatitis C in people with severe mental illness: A systematic review and meta-analysis. The Lancet Psychiatry,3(1), P40–P48. https://doi.org/10.1016/S2215-0366(15)00357-0.
Ilyas, A., Chesney, E., & Patel, R. (2017). Improving life expectancy in people with serious mental illness: Should we place more emphasis on primary prevention? British Journal of Psychiatry,211(4), 194–197. https://doi.org/10.1192/bjp.bp.117.203240.
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry,62(6), 617–627. https://doi.org/10.1001/archpsyc.62.6.617.
Lasser, K., Boyd, J. W., Woolhandler, S., Himmelstein, D. U., McCormick, D., & Bor, D. H. (2000). Smoking and mental illness: A population-based prevalence study. Journal of the American Medical Association,284(20), 2606–2610. https://doi.org/10.1001/jama.284.20.2606.
Mental Health Information, Statistics, Mental Illness. (2019). Retrieved March 14, 2019, from National Institute of Mental Health website: https://www.nimh.nih.gov/health/statistics/mental-illness.shtml.
Miller, B. J., Paschall, C. B., & Svendsen, D. P. (2006). Mortality and medical comorbidity among patients with serious mental illness. Psychiatric Services,57(10), 1482–1487. https://doi.org/10.1176/ps.2006.57.10.1482.
National Council for Behavioral Health. Standard Framework for Levels of Integrated Care. Retrieved December 9, 2019, from https://www.thenationalcouncil.org/wp-content/uploads/2018/10/CIHS_Framework_Final_charts.pdf.
Olfson, M., Gerhard, T., Huang, C., Crystal, S., & Stroup, T. S. (2015). Premature mortality among adults with schizophrenia in the United States. JAMA Psychiatry,72(12), 1172–1181. https://doi.org/10.1001/jamapsychiatry.2015.1737.
Parks, J., Svendsen, D., Singer, P., & Foti, M. E. (2006). Morbidity and mortality in people with serious mental illness. In National Association of State Mental Health Program Directors (NASMHPD) Medical Directors Council. Alexandria, VA.
Salsberry, P. J., Chipps, E., & Kennedy, C. (2005). Use of general medical services among Medicaid patients with severe and persistent mental illness. Psychiatric Services,56(4), 458–462. https://doi.org/10.1176/appi.ps.56.4.458.
Scharf, D. M., Eberhart, N. K., Hackbarth, N. S., Horvitz-Lennon, M., Beckman, R., Han, B., … Burnam, M. A. (2014). Evaluation of the SAMHSA primary and behavioral health care integration (PBHCI) grant program: Final report. Rand Health Quarterly, 4(3), 6.
Tam, J., Warner, K. E., & Meza, R. (2016). Smoking and the reduced life expectancy of individuals with serious mental illness. American Journal of Preventive Medicine,51(6), 958–966. https://doi.org/10.1016/j.amepre.2016.06.007.
U.S. Department of Health and Human Services. (2018). Office of the Assistant Secretary for Planning and Evaluation. Report to Congress on the Medicaid Health Home State Plan Option.
U.S. Preventive Services Task Force (2019). https://www.uspreventiveservicestaskforce.org/.
Walker, E. R., McGee, R. E., & Druss, B. G. (2015). Mortality in mental disorders and global disease burden implications a systematic review and meta-analysis. JAMA Psychiatry,72(4), 334–341. https://doi.org/10.1001/jamapsychiatry.2014.2502.
Weinstein, L. C., Stefancic, A., Cunningham, A. T., Hurley, K. E., Cabassa, L. J., & Wender, R. C. (2016). Cancer screening, prevention, and treatment in people with mental illness. CA: A Cancer Journal for Clinicians, 66(2), 134–151. https://doi.org/10.3322/caac.21334.
Williams, J. M., & Ziedonis, D. (2004). Addressing tobacco among individuals with a mental illness or an addiction. Addictive Behaviors,29(6), 1067–1083. https://doi.org/10.1016/j.addbeh.2004.03.009.
Ziedonis, D. M. (2004). Integrated treatment of co-occurring mental illness and addiction: Clinical intervention, program, and system perspectives. CNS Spectrums, 9(12), 892–904, 925.