Individuals with serious mental illness (SMI) have higher rates cardiometabolic conditions than the general population, which put them at increased risk for early mortality. Treatment retention is especially important as it may prevent worsening of mental and physical health symptoms and lower such risks. Models of integrated primary and behavioral health care (PBHC) are promising for treating co-morbid mental and physical health conditions common to individuals with SMI. Previous research identified that individuals with SMI drop out of care at higher rates than other individuals with mental illness. Past studies on treatment retention with this population have been qualitative and small in scope. This longitudinal study examines correlates of treatment retention, including sociodemographic, health, psychosocial, and treatment-related characteristics among individuals with SMI in an integrated PBHC program in a community mental health setting. Variables significantly associated with 12-month treatment retention included access to transportation, no illicit drug use, and 6-month treatment retention. Several variables identified as important correlates of retention in previous studies were not found to be significantly associated with 12-month retention. Directions for future research and implications for social work are discussed.
| Identifer | oai:union.ndltd.org:LSU/oai:etd.lsu.edu:etd-04072017-093746 |
| Date | 25 April 2017 |
| Creators | Thomas, Katherine Anne |
| Contributors | Lemieux, Catherine, Yang, Miyoun, Guin, Cecile |
| Publisher | LSU |
| Source Sets | Louisiana State University |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lsu.edu/docs/available/etd-04072017-093746/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached herein a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to LSU or its agents the non-exclusive license to archive and make accessible, under the conditions specified below and in appropriate University policies, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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