TY - JOUR
T1 - An Efficient Nurse Practitioner–Led Community-Based Service Model for Delivering Coordinated Care to Persons With Serious Mental Illness at Risk for Homelessness
AU - Baker, Jeannemarie
AU - Travers, Jasmine L.
AU - Buschman, Penelope
AU - Merrill, Jacqueline A.
N1 - Funding Information:
JLT is supported by an award from the National Institute of Nursing Research (5 T32 NR009356-07). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: JLT is supported by an award from the National Institute of Nursing Research (5 T32 NR009356-07). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2017, © The Author(s) 2017.
PY - 2018/3/1
Y1 - 2018/3/1
N2 - BACKGROUND: Access to mental health care is a struggle for those with serious mental illness (SMI). About 25% of homeless suffer from SMI, compared with 4.2% of the general population. OBJECTIVE: From 2003 to 2012, St. Paul’s Center (SPC) operated a unique model to provide quality care to the homeless and those at risk for homelessness, incarceration, and unnecessary hospitalization because of SMI. Data were available for analysis for the years 2008 to 2010. DESIGN: The SPC was developed, managed, and staffed by board-certified psychiatric/mental health nurse practitioners, offering comprehensive mental health services and coordinated interventions. RESULTS: All clients were housed and none incarcerated. From 2008 to 2010, only 3% of clients were hospitalized, compared with 7.5% of adults with SMI. Clinical, academic, and community partnerships increased value, but Medicaid reimbursement was not available. CONCLUSION: Mental health provisions in the recently passed 21st Century Cures Act support community mental health specialty treatment. The SPC provides a template for similar nurse practitioner–led models.
AB - BACKGROUND: Access to mental health care is a struggle for those with serious mental illness (SMI). About 25% of homeless suffer from SMI, compared with 4.2% of the general population. OBJECTIVE: From 2003 to 2012, St. Paul’s Center (SPC) operated a unique model to provide quality care to the homeless and those at risk for homelessness, incarceration, and unnecessary hospitalization because of SMI. Data were available for analysis for the years 2008 to 2010. DESIGN: The SPC was developed, managed, and staffed by board-certified psychiatric/mental health nurse practitioners, offering comprehensive mental health services and coordinated interventions. RESULTS: All clients were housed and none incarcerated. From 2008 to 2010, only 3% of clients were hospitalized, compared with 7.5% of adults with SMI. Clinical, academic, and community partnerships increased value, but Medicaid reimbursement was not available. CONCLUSION: Mental health provisions in the recently passed 21st Century Cures Act support community mental health specialty treatment. The SPC provides a template for similar nurse practitioner–led models.
KW - advanced practice nursing
KW - community mental health services
KW - health care disparities
KW - homeless persons
KW - serious mental illness
KW - Severity of Illness Index
KW - Nurse Practitioners
KW - Community Mental Health Services/methods
KW - Delivery of Health Care, Integrated/methods
KW - Humans
KW - Cooperative Behavior
KW - Homeless Persons
KW - Risk
KW - Mental Disorders/therapy
KW - Housing
KW - New York City
KW - Psychiatric Nursing/methods
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U2 - 10.1177/1078390317704044
DO - 10.1177/1078390317704044
M3 - Article
C2 - 28402750
AN - SCOPUS:85044419552
SN - 1078-3903
VL - 24
SP - 101
EP - 108
JO - Journal of the American Psychiatric Nurses Association
JF - Journal of the American Psychiatric Nurses Association
IS - 2
ER -