Availability of Integrated Primary Care Services in Community Mental Health Care Settings

Publisher: Psychiatric Services, vol 70, issue 6
Jun 01, 2019
Authors
Jonathan D. Brown

Key Findings:

  • Integrated primary care and wellness services, such as tobacco cessation, remain uncommon in community mental health centers and outpatient mental health facilities.
  • The proportion of community mental health centers and outpatient mental health facilities that offer integrated primary care varies widely across states.

Objective. This study examined the availability of primary care and wellness services in community mental health centers (CMHCs) and outpatient mental health facilities (OMHFs).

Methods. This study used data from the 2016 National Mental Health Services Survey to examine the proportion of facilities that reported offering integrated primary care and wellness services (smoking and tobacco cessation counseling, diet and exercise counseling, and chronic disease and illness management). The study used logistic regression to model the odds that a facility offered integrated primary care as a function of facility characteristics.

Results. Across states, 23% of CMHCs and 19% of OMHFs offered integrated primary care. The odds of offering integrated primary care were significantly higher among facilities that reported more quality improvement practices, prohibited smoking, or offered wellness services. Less than one third offered smoking and tobacco cessation counseling or other wellness services.

Conclusions. Integrated primary care remains uncommon in CMHCs and OMHFs and is more likely among facilities with certain characteristics.