Integrated care, recovery-consistent care features, and quality of life for patients with serious mental illness.

Bowersox NW, Lai Z, Kilbourne AM. Integrated care, recovery-consistent care features, and quality of life for patients with serious mental illness. Psychiatric services (Washington, D.C.). 2012 Nov 1; 63(11):1142-5.

Related HSR&D Project(s)

• IAB 07-115 – Implementing Integrated Care for Veterans with Serious Mental Illness

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Abstract:

OBJECTIVE: The goal of this study was to evaluate relationships between recovery-supportive and integrated care features with health-related quality of life for veterans with serious mental illness. METHODS: Data were utilized from several national Veterans Affairs (VA) databases for 2,394 patients with serious mental illness from 107 VA sites. Regressions evaluated relationships between health-related quality of life and care features. RESULTS: Higher quality of life in regard to general health was associated with sites that offered peer support (ß = 1.79, p < .01) and with patients'' increased understanding of their treatment (ß = .80, p < .01), whereas lower quality of life was associated with sites with colocated general medical and mental health care providers (ß = -1.37, p < .05) and family psychoeducation (ß = -1.41, p < .05). Care at sites with vocational rehabilitation (ß = 1.38, p < .05), peer support (ß = 1.85, p < .05), and colocated providers (ß = 1.60, p < .05) and patients'' increased understanding of care (ß = .82, p < .01) were all associated with increased mental health quality of life, whereas reduced mental health quality of life was associated with care at sites with social skills training (ß = -1.48, p < .05) or increased levels of care collaboration between primary care and mental health providers (ß = -.27, p < .01). CONCLUSIONS: Recovery-oriented care might be associated with increased health-related quality of life among patients with serious mental illness.