精神健康、生活技能和健康机会计划:通过综合咨询、合作和短期护理来满足精神病患者的需求。

IF 1.2 4区 医学 Q3 FAMILY STUDIES
Rosa Ruggiero, Kyle Rutledge, Kevin Hoeper, Laura Bridges
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引用次数: 0

摘要

导言:综合行为健康计划为患者和医疗机构带来了巨大的利益,包括降低总体成本。然而,资金方面的障碍阻碍了这些计划在全国范围内的实施和维持:精神科健康、生活技能和健康机会(PHLOW)项目以协作护理模式为基础,旨在通过综合模式提供精神科护理,使医疗机构在财务上可持续发展。这项试点观察研究包括通过与初级保健提供者协商间接接受精神科护理的患者,以及通过短暂护理直接接受精神科护理的患者:结果:参加简短护理前后,患者在九项患者健康问卷和 7 级广泛性焦虑症上的得分变化证明了患者的治疗效果。经风险调整后的每名成员每月费用随时间推移而发生的变化证明了总体护理成本的节省:讨论:参与 PHLOW 项目的患者的焦虑和抑郁评分可能会下降,同时精神健康索赔也会减少。此外,参与该计划的患者就诊次数较少,避免了转诊至长期精神病科,从而为病情较重的患者保留了就诊机会。PHLOW 项目价值的这一体现,使得该项目通过主要的地区医疗补助支付方获得了额外的财政支持,增强了项目的可持续性,并为其他组织实施综合行为健康项目树立了可行的合作典范。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychiatric Health, Life Skills, and Opportunities for Wellness Program: Addressing psychiatric need through integrated consultation, collaboration, and brief episodes of care.

Introduction: Integrated behavioral health programs bring strong benefits to patients and health organizations including reductions in overall costs. However, obstacles to funding prevent the implementation and maintenance of these programs across the country.

Method: The Psychiatric Health, Life Skills and Opportunities for Wellness (PHLOW) Program is based on the collaborative care model and seeks to provide psychiatric care through an integrated model that is financially sustainable for the organization. This pilot observational study included patients who received psychiatric care indirectly via consultations with primary care providers and directly through brief episodes of care.

Results: Patient outcomes were demonstrated by score changes on the nine-item Patient Health Questionnaire and Generalized Anxiety Disorder 7 before and after participation in brief episodes of care. Overall cost of care savings was demonstrated through change over time in risk-adjusted per-member-per-month.

Discussion: Patients participating in the PHLOW program showed potential drops in anxiety and depression ratings, coinciding with a reduction in mental health claims. In addition, participation in the program involved a small number of patient visits and prevented referrals to long-term psychiatry, preserving access for higher acuity presentations. This demonstration of the value of the PHLOW program has led to additional financial support of the program through the primary regional Medicaid payor, enhancing sustainability, and potentially modeling a collaboration that may be feasible for other organizations implementing integrated behavioral health programs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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