Planning Patient-Centered Health Homes for Medicaid Psychiatric Patients at Greatest Risk for Intens

Authors, Primary West,Joyce;Rae,Donald;Mojtabai,Ramin;Duffy,Farifteh;Kuramoto,Janet;Moscicki,Eve;Narrow,William
Title Primary Planning Patient-Centered Health Homes for Medicaid Psychiatric Patients at Greatest Risk for Intensive Service Use
Periodical Full Community mental health journal
Pub Year 2015
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Abstract This study identified characteristics of Medicaid psychiatric patients at risk of hospitalizations and emergency department (ED) visits to identify their service delivery needs. A total of 4,866 psychiatrists were randomly selected from the AMA Physician Masterfile; 62 % responded, 32 % met eligibility criteria and reported on 1,625 Medicaid patients. Patients with schizophrenia, substance use disorders, suicidal and violent ideation/behavior, and psychotic, substance use, or manic symptoms were at high risk for intensive service use, along with homeless and incarcerated patients. Patients with schizophrenia or psychotic symptoms represented 37 % of patients, but used 73 % of all hospital days and 61 % of all ED visits. Patients with substance use problems comprised 21 % of patients, but used nearly half of all ED visits. Our findings highlight opportunities to enhance treatments and interventions, and inform the development of patient-centered health homes to address the needs of patients at high risk for intensive service use.
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PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Specialty Medical Home
Special Population(s) Medicaid Recipients;People with Mental and Behavioral Health Issues
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Commentary/Opinion Piece No
Historical Publication No
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