Community-Based Integrated Care Model Demonstrates Improvements in Managing Chronic Physical and Mental Health Conditions
Methods: ICS enrolled 960 adults seeking mental health or medical treatment. To qualify, the person had to be diagnosed with a mental illness or self-report significant mental health symptoms. Participants completed baseline measures of depression (PHQ-9), anxiety (GAD-7), body mass index (BMI), and blood pressure.
Findings: Mental Health: Participants who initially scored in the moderate to severe range for mental health symptoms showed a significant decrease in mood scores (baseline M=18.4, SD=5.0 vs. follow-up M=13.2, SD=7.2), t(437)=14.76, p < .001 for depression; baseline M=16.6, SD=3.5 vs. follow-up 11.6,SD=6.1, t(398)=16.37, p <.001 for anxiety). Physical Health: There were significant drops in BMI (baseline M=36.2, SD=6.1 vs follow-up M=35.6, SD=6.6, t(201)=2.69 p =.008); systolic blood pressure (baseline M=156.4, SD=14.3 vs follow-up M=140.1, SD=17.3, t(64)=6.44 p <.001); and diastolic blood pressure (baseline M=98.6, SD=6.4 vs follow-up M=87.3, SD=10.3, t(64)=7.36 p<.001). Blood pressure management among hypertensive participants was compared between ICS and non-ICS participants seen at the same clinics. More ICS participants were able to achieve blood pressure at <140/90 (i.e., 70% vs 91% respectively) as compared to non-ICS (i.e., 69% at both time points).
Implications: These findings suggest that the standard of practice should be changed to manage chronic mental health and physical health challenges in community-based integrated settings.
Learning Areas:Administer health education strategies, interventions and programs
Provision of health care to the public
Evaluate mental and physical health outcomes among adults participating in an integrated, community-based health care model.
Keyword(s): Community-Based Partnership & Collaboration, Mental Health
Qualified on the content I am responsible for because: I have been the principal or co-principal of multiple state funded MHSA Innovations projects. Among the projects that I have developed have involved Integrated Care as well as those that involve the use of mental health peers as an integral component.
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.