Online Program

Exploring health service use among mental health consumers

Tuesday, November 3, 2015 : 11:10 a.m. - 11:30 a.m.

Elizabeth Siantz, MSW, School of Social Work, University of Southern California, Los Angeles, CA
Background: People living with serious mental illness (SMI) have shortened life expectancies compared to the general population, largely due to poorly managed chronic care conditions.  The Affordable Care Act is improving access to care for this population by integrating physical and mental health servicesWhether health homes for mental health consumers would be most accessible in primary care or mental health settings is unclear.  This study uses the Four-Quadrant Clinical Integration Model to identify factors associated with accessing physical health services from primary care or mental health settings among a sample of mental health consumers. Methods Data were drawn from a large-scale assessment of client reported outcomes in San Diego County Adult and Older Adult Mental Health Services (N=712). Multinomial logistic regression identified factors associated with use of health services from a mental health provider, a primary care provider, both a primary care and mental health provider, or neither type of provider. Results:  Low self-rated emotional health was associated with decreased odds of accessing all service options: (Primary health provider OR=0.42;95%CI=0.24-0.73; mental health provider OR=0.36;95%CI=0.19-0.69; both physical and mental health provider OR=0.32;95%CI=0.19-0.56). Having chronic conditions was associated with increased likelihood of accessing a primary provider (OR=2.61;95%CI=1.36-4.97) and both a primary and mental health provider (OR=2.00;95%CI=1.04-3.87). Discussion: Consumers with poorly rated emotional health require enhanced engagement into health care.  Care coordination could be enhanced for consumers with multiple chronic conditions through health navigation and and other forms of peer support. Other factors to consider when planning health homes will be discussed.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the physical health service use preferences of a sample of mental health consumers in San Diego County Identify factors associated with accessing physical health care from different health service locales

Keyword(s): Chronic Disease Management and Care, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My research focuses on factors to consider when planning and implementing health service innovations. For the current presentation, I used my methodological skill set to independently conduct and interpret the analyses presented.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.