Public Health Policy Analysis (PHPA) Paper

10/16/2020 Mental Health Recovery in the Patient-Centered Medical Home - PubMed

https://pubmed.ncbi.nlm.nih.gov/26180945/ 1/2

. 2015 Sep;105(9):1926-34. doi: 10.2105/AJPH.2015.302683.

Epub 2015 Jul 16.

Mental Health Recovery in the Patient-Centered Medical Home

Marisa Sklar , Gregory A Aarons , Maria O'Connell , Larry Davidson , Erik J Groessl

Affiliations

PMID: 26180945 PMCID: PMC4539809 DOI: 10.2105/AJPH.2015.302683

Free PMC article

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Am J Public Health

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Affiliation

Marisa Sklar is with San Diego State University-University of California San Diego Joint

Doctoral Program in Clinical Psychology, San Diego. Gregory A. Aarons is with Department of

Psychiatry, University of California San Diego, La Jolla. Maria O'Connell and Larry Davidson

are with Department of Psychiatry, Yale School of Medicine, New Haven, CT. Erik J. Groessl is

with Department of Family and Preventive Medicine, University of California San Diego.

1

Abstract

Objectives: We examined the impact of transitioning clients from a mental health clinic to a

patient-centered medical home (PCMH) on mental health recovery.

Methods: We drew data from a large US County Behavioral Health Services administrative data

set. We used propensity score analysis and multilevel modeling to assess the impact of the PCMH

on mental health recovery by comparing PCMH participants (n = 215) to clients receiving service as

usual (SAU; n = 22,394) from 2011 to 2013 in San Diego County, California. We repeatedly

assessed mental health recovery over time (days since baseline assessment range = 0-1639; mean

= 186) with the Illness Management and Recovery (IMR) scale and Recovery Markers

Questionnaire.

Results: For total IMR (log-likelihood ratio χ(2)[1] = 4696.97; P < .001) and IMR Factor 2

Management scores (log-likelihood ratio χ(2)[1] = 7.9; P = .005), increases in mental health

recovery over time were greater for PCMH than SAU participants. Increases on all other measures

over time were similar for PCMH and SAU participants.

Conclusions: Greater increases in mental health recovery over time can be expected when

patients with severe mental illness are provided treatment through the PCMH. Evaluative efforts

should be taken to inform more widespread adoption of the PCMH.

Figures

10/16/2020 Mental Health Recovery in the Patient-Centered Medical Home - PubMed

https://pubmed.ncbi.nlm.nih.gov/26180945/ 2/2

FIGURE 1— 5 Propensity scores for services as…

FIGURE 2— 5 Total Illness Management and Recovery…

FIGURE 3— 5 Total Recovery Markers Questionnaire scores…

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