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 |
Volume | Not Available |
issue | Not Available |
Start Page | Not Available |
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. |
Publisher | Not Available |
Place of Publication | Not Available |
Author/Address | Not Available |
PubMed Link | http://www.ncbi.nlm.nih.gov/pubmed/25666205 |
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 |
Case Study | No |
Commentary/Opinion Piece |
Historical Publication | No |
Key/Foundational Article | No |
Literature Review | No |
Article Rating | No |
Summary of Article Rating | No |