TY - JOUR
T1 - Physical health outcomes and implementation of behavioural health homes
T2 - a comprehensive review
AU - Murphy, Karly A.
AU - Daumit, Gail L.
AU - Stone, Elizabeth
AU - McGinty, Emma E.
N1 - Publisher Copyright:
© 2019, © 2019 Institute of Psychiatry and Johns Hopkins University.
PY - 2018/11/2
Y1 - 2018/11/2
N2 - People with serious mental illness (SMI) have mortality rates 2–3-times higher than the general population, mostly driven by physical health conditions. Behavioural health homes (BHHs) integrate primary care into specialty mental healthcare settings with the goal of improving management of physical health conditions among people with SMI. Implementation and evaluation of BHH models is increasing in the US. This comprehensive review summarized the available evidence on the effects of BHHs on physical healthcare delivery and outcomes and identified perceived barriers and facilitators that have arisen during implementation to-date. This review found 11 studies reporting outcomes data on utilization, screening/monitoring, health promotion, patient-reported outcomes, physical health and/or costs of BHHs. The results of the review suggest that BHHs have resulted in improved primary care access and screening and monitoring for cardiovascular-related conditions among consumers with SMI. No significant effect of BHHs was reported for outcomes on diabetes control, weight management, or smoking cessation. Overall, the physical health outcomes data is limited and mixed, and implementation of BHHs is variable.
AB - People with serious mental illness (SMI) have mortality rates 2–3-times higher than the general population, mostly driven by physical health conditions. Behavioural health homes (BHHs) integrate primary care into specialty mental healthcare settings with the goal of improving management of physical health conditions among people with SMI. Implementation and evaluation of BHH models is increasing in the US. This comprehensive review summarized the available evidence on the effects of BHHs on physical healthcare delivery and outcomes and identified perceived barriers and facilitators that have arisen during implementation to-date. This review found 11 studies reporting outcomes data on utilization, screening/monitoring, health promotion, patient-reported outcomes, physical health and/or costs of BHHs. The results of the review suggest that BHHs have resulted in improved primary care access and screening and monitoring for cardiovascular-related conditions among consumers with SMI. No significant effect of BHHs was reported for outcomes on diabetes control, weight management, or smoking cessation. Overall, the physical health outcomes data is limited and mixed, and implementation of BHHs is variable.
KW - Serious mental illness
KW - behavioural health home
KW - implementation
KW - outcomes
KW - physical health
UR - http://www.scopus.com/inward/record.url?scp=85065432068&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85065432068&partnerID=8YFLogxK
U2 - 10.1080/09540261.2018.1555153
DO - 10.1080/09540261.2018.1555153
M3 - Review article
C2 - 30822169
AN - SCOPUS:85065432068
SN - 0954-0261
VL - 30
SP - 224
EP - 241
JO - International Review of Psychiatry
JF - International Review of Psychiatry
IS - 6
ER -