Journal article
Exploring Predictors of Treatment Engagement in Urban Integrated Primary Care
Clinical practice in pediatric psychology, v 8(3), pp 228-240
Sep 2020
PMID: 34336540
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective:
Integrated primary care (IPC) is intended to address the gap in access to behavioral health care. This may be particularly true in urban settings; however, there is a paucity of research on treatment engagement in urban IPC. This study explored factors associated with treatment engagement.
Method:
Data were collected via retrospective chart review for 410 patients of diverse backgrounds who received an IPC referral in an urban primary care site. Patient-related factors included having multiple types of referral concerns, patient primary care show rate, and number of visits with referring clinician. Service-related factors included referral type (warm handoff/electronic), number of days between referral and intake, and average number of days between IPC treatment sessions. Engagement outcomes included attendance at IPC intake, total IPC sessions attended, overall IPC show rate, and IPC treatment attrition.
Results:
Of referred patients, 348 (84.9%) were encouraged to or scheduled an intake. Of those, 289 (83.1%) scheduled and 57.2% attended; the average number of sessions attended was 1.73. Patients who had more primary care office visits and higher primary care show rates were more likely to attend an IPC intake. Shorter average duration between follow-up sessions was associated with higher overall IPC show rates for those who initiated IPC follow-up care.
Conclusions:
Supporting engagement in primary care broadly and building scheduling capacity for IPC treatment may increase IPC service engagement in an urban primary care context.
Implications for Impact Statement
Integrated primary care (IPC) is intended to address disparities in access to behavioral health care. The results demonstrate the importance of addressing barriers to attendance at urban primary care visits broadly, as patients with higher rates of attendance at primary care visits were more likely to engage in IPC services after referral.
Metrics
Details
- Title
- Exploring Predictors of Treatment Engagement in Urban Integrated Primary Care
- Creators
- Jennifer A. Mautone - University of PennsylvaniaBeatriz Cabello - Drexel UniversityTheresa E. Egan - Children's Hospital of PhiladelphiaNikita P. Rodrigues - Children's NationalMolly Davis - University of PennsylvaniaCaleb J. Figge - Johns Hopkins UniversityAliza Jaffe Sass - Lehigh UniversityAriel A. Williamson - Children's Hospital of Philadelphia
- Publication Details
- Clinical practice in pediatric psychology, v 8(3), pp 228-240
- Publisher
- SAGE Publications
- Number of pages
- 13
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000648731000004
- Scopus ID
- 2-s2.0-85091568380
- Other Identifier
- 991021860681804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
Source: SDGs in the Output
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Clinical
- Psychology, Developmental