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Integrating Primary Care Into Community Mental Health Centers: Impact on Utilization and Costs of Health Care.

Psychiatr Serv

November 2016

Dr. Krupski, Ms. West, and Dr. Snowden are with the Department of Psychiatry and Behavioral Sciences, University of Washington at Harborview Medical Center, Seattle (e-mail: ). Dr. Scharf is with the RAND Corporation, Pittsburgh. Dr. Hopfenbeck and Mr. Andrus are with the Downtown Emergency Service Center, Seattle. Dr. Joesch is with the King County Office of Performance, Strategy, and Budget, Seattle.

Objective: This evaluation was designed to assess the impact of providing integrated primary and mental health care on utilization and costs for outpatient medical, inpatient hospital, and emergency department treatment among persons with serious mental illness.

Methods: Two safety-net, community mental health centers that received a Substance Abuse and Mental Health Services Administration Primary and Behavioral Health Care Integration (PBHCI) grant were the focus of this study. Clinic 1 had a ten-year history of providing integrated services whereas clinic 2 began integrated services with the PBHCI grant.

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