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News and Notes   |    
News and Notes
Psychiatric Services 2014; doi: 10.1176/appi.ps.656news
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Copyright © 2014 by the American Psychiatric Association

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RAND final report on SAMHSA’s grant program for integrated care: In 2009, the Substance Abuse and Mental Health Services Administration (SAMHSA) created the Primary and Behavioral Health Care Integration (PBHCI) grant program to address excess morbidity and mortality among people with serious mental illness. The program supports an array of coordinated primary care services in community behavioral health settings. Currently, 100 community agencies have received PBHCI grants. The RAND Corporation has just released a final report of its evaluation of PBHCI processes, outcomes, and model features. Overall, the evaluation found wide variation in the service infrastructures and packages that grantees implemented for consumers enrolled in the program. A comparative effectiveness study found that PBHCI consumers improved on some but not all health indicators. Compared with consumers at control clinics, PBHCI consumers showed improvements in diastolic blood pressure, total cholesterol, LDL cholesterol, and fasting plasma glucose; however, there were no differences in self-reported smoking, body mass index, systolic blood pressure, HDL cholesterol, hemoglobin A1c, and triglycerides. Several program features had an impact on access to integrated care, such as the number of days per week that a primary care clinic was open and whether the integrated care staff met regularly. However, access was not clearly associated with health outcomes. The 139-page report, which is available on the SAMHSA Web site at www.integration.samhsa.gov, concludes with suggestions for improving systems of integrated care for this population and for designing future evaluations.

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