A Secondary-Primary Mental Health Integrated Care Model for Communities with Diverse Population and Complex Health Needs – a Case Study with Health Care Utilization Evaluation

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aut.embargotrueen_NZ
aut.publication.placeOxford United Kingdomen_NZ
aut.researcherZeng, Suilan
dc.contributor.authorBensemann, Cen_NZ
dc.contributor.authorZeng, ISen_NZ
dc.contributor.authorHamer, Hen_NZ
dc.date.accessioned2022-05-30T00:48:23Z
dc.date.available2022-05-30T00:48:23Z
dc.date.copyright2022-05-15en_NZ
dc.date.issued2022-05-15en_NZ
dc.description.abstractIntegrated care is expected to improve patient experience, patient outcomes and assist with the increasing demand on health services from those with long term conditions including mental disorder. Few studies have evaluated health care utilization as a consequence of increased integration of mental health care. This study considers the factors known to influence secondary health service utilization and investigated the impact of a locality based mental health integrated model of care (ILoC) providing specialist consultation and liaison advice to primary care, to support early diagnosis and treatment. Using existing hospital databases, the study-cohort was identified (service users supported by ILoC, and then referred within 6 months to specialist mental health services (MHS) care between 2017– 2018) and compared on health services utilization with a matched-cohort (without ILoC support before referral to specialist services). The length-of-care in the non-acute MHS was 71% shorter for the ILoC study cohort, and differences increased in the subgroup taking antidepressants. The ILoC study-cohort was less likely to be admitted to acute MHS on first referral post ILoC intervention and had a 25% lower relative risk of acute MHS admissions at any time in follow-up. There was no difference in the average MHS inpatient length-of-stay. The risk of general hospital acute inpatient admission was marginally higher in the ILoC study-cohort. Conclusions: ILoC appears to shorten non-acute length-of-specialist-care and reduce acute mental health admission. The study provides a first step in understanding the clinical characteristics and specialist services health-care utilization of patients supported by an integrated mental care approach.
dc.description.sponsorshipCounties Manukau Healthen_NZ
dc.identifier.citationInternational Journal of Integrated Care, 2022; 22(2): 14, 1–13. DOI: https://doi.org/10.5334/ijic.5939
dc.identifier.doi10.5334/ijic.5939en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/15176
dc.publisherUbiquity Press
dc.relation.urihttps://www.ijic.org/articles/10.5334/ijic.5939/en_NZ
dc.rights© 2022 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. International Journal of Integrated Care is a peer-reviewed open access journal published by Ubiquity Press
dc.rights.accessrightsOpenAccessen_NZ
dc.titleA Secondary-Primary Mental Health Integrated Care Model for Communities with Diverse Population and Complex Health Needs – a Case Study with Health Care Utilization Evaluationen_NZ
dc.typeCommissioned Report
pubs.elements-id442570
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/Biostatistics & Epidemiology Department
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/Faculty Central - HES
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