| 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 |
Back