Enhancing Primary Care Experiences for Homeless Patients with Serious Mental Illness: Results from a National Survey
| Autor: | Sonya Gabrielian, Audrey L. Jones, April E. Hoge, Aerin J. deRussy, Young-il Kim, Ann Elizabeth Montgomery, John R. Blosnich, Adam J. Gordon, Lillian Gelberg, Erika L. Austin, David Pollio, Sally K. Holmes, Allyson L. Varley, Stefan G. Kertesz |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of Primary Care & Community Health, Vol 12 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2150-1327 21501327 |
| DOI: | 10.1177/2150132721993654 |
| Popis: | Objectives: Patients experiencing homelessness (PEH) with serious mental illness (SMI) have poor satisfaction with primary care. We assessed if primary care teams tailored for homeless patients (Homeless-Patient Aligned Care Teams (H-PACTs)) provide this population with superior experiences than mainstream primary care and explored whether integrated behavioral health and social services were associated with favorable experiences. Methods: We surveyed VA PEH with SMI (n = 1095) to capture the valence of their primary care experiences in 4 domains (Access/Coordination, Patient-Clinician Relationships, Cooperation, and Homeless-Specific Needs). We surveyed clinicians (n = 52) from 29 H-PACTs to elucidate if their clinics had embedded mental health, addiction, social work, and/or housing services. We counted these services in each H-PACT (0-4) and classified H-PACTs as having high (3-4) versus low (0-2) service integration. We controlled for demographics, housing history, and needs in comparing H-PACT versus mainstream experiences; and experiences in high versus low integration H-PACTs. Results: Among respondents, 969 (91%) had complete data and 626 (62%) were in H-PACTs. After covariate adjustment, compared to mainstream respondents, H-PACT respondents were more likely ( P |
| Databáze: | Directory of Open Access Journals |
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