Ontology highlight
ABSTRACT: Objectives
Patients experiencing homelessness (PEH) with serious mental illness (SMI) have poor satisfaction with primary care. We assessed if primary care teams tailored for homeless patients (Homeless-Patient Aligned Care Teams (H-PACTs)) provide this population with superior experiences than mainstream primary care and explored whether integrated behavioral health and social services were associated with favorable experiences.Methods
We surveyed VA PEH with SMI (n?=?1095) to capture the valence of their primary care experiences in 4 domains (Access/Coordination, Patient-Clinician Relationships, Cooperation, and Homeless-Specific Needs). We surveyed clinicians (n?=?52) from 29 H-PACTs to elucidate if their clinics had embedded mental health, addiction, social work, and/or housing services. We counted these services in each H-PACT (0-4) and classified H-PACTs as having high (3-4) versus low (0-2) service integration. We controlled for demographics, housing history, and needs in comparing H-PACT versus mainstream experiences; and experiences in high versus low integration H-PACTs.Results
Among respondents, 969 (91%) had complete data and 626 (62%) were in H-PACTs. After covariate adjustment, compared to mainstream respondents, H-PACT respondents were more likely (P?ConclusionsHomeless-tailored clinics with highly-integrated services were associated with better care experiences among PEH with SMI. These observational data suggest that tailored primary care with integrated services may improve care perceptions among complex patients.
SUBMITTER: Gabrielian S
PROVIDER: S-EPMC7871055 | biostudies-literature | 2021 Jan-Dec
REPOSITORIES: biostudies-literature
Gabrielian Sonya S Jones Audrey L AL Hoge April E AE deRussy Aerin J AJ Kim Young-Il YI Montgomery Ann Elizabeth AE Blosnich John R JR Gordon Adam J AJ Gelberg Lillian L Austin Erika L EL Pollio David D Holmes Sally K SK Varley Allyson L AL Kertesz Stefan G SG
Journal of primary care & community health 20210101
<h4>Objectives</h4>Patients experiencing homelessness (PEH) with serious mental illness (SMI) have poor satisfaction with primary care. We assessed if primary care teams tailored for homeless patients (Homeless-Patient Aligned Care Teams (H-PACTs)) provide this population with superior experiences than mainstream primary care and explored whether integrated behavioral health and social services were associated with favorable experiences.<h4>Methods</h4>We surveyed VA PEH with SMI (n = 1095) to c ...[more]