The proposed study regarding the impact of my primary care psychiatry clinic with respect to effectiveness, utilization of services, cost of care, and patient satisfaction will help develop my abilities to perform mental health services research. I will develop skills in research design, using research instruments, administering research data analysis, and writing grants and articles for publication. I will have the help of the following mentors: Joel Yager, M.D., Samuel J. Keith, M.D., Eberhard Ulenhuth, M.D., statisticians and research design experts employed by the core grant, and external consultants including Drs. Kenneth Wells and Spero Manson. The study will test the hypotheses that 1) patients with serious and persistent psychiatric mental disorders enrolled in the Albuquerque VAMC Psychiatry Primary Care Clinic (PPC), a single clinic which provides both psychiatry and primary care, require less inpatient psychiatric and inpatient medical care, will have fewer ER visits, medical sub-specialty visits, numbers and total costs of medication prescriptions, numbers and total costs of outpatient laboratory tests, less overall cost of care, miss fewer clinical visits and have greater satisfaction with their care than these same patients did while being followed for a comparable period of time in a traditional manner in the internal medicine and psychiatry clinics at the Albuquerque VAMC; 2) that these patients also require less of these sorts of care, lower costs, miss fewer visits, and have greater satisfaction than a comparable group of patients followed in separate primary care and psychiatry clinics during the same periods of time at the Tucson VAMC; and 3) that the factors related to effectiveness, utilization, cost and satisfaction with care will differ by ethnic group. Data will be obtained for the two year time periods just prior to and just following the inception of the PPC from the Abuquerque and Tucson VAMCs, the later chosen because it lacks a PPC. Samples of at least 170 patients each in Albuquerque and Tucson for the analysis.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Resource-Related Research Projects (R24)
Project #
1R24MH058404-01
Application #
6273551
Study Section
Project Start
1998-05-01
Project End
1999-02-28
Budget Start
1997-10-01
Budget End
1998-09-30
Support Year
1
Fiscal Year
1998
Total Cost
Indirect Cost
Name
University of New Mexico
Department
Type
DUNS #
829868723
City
Albuquerque
State
NM
Country
United States
Zip Code
87131
Waitzkin, Howard; Schillaci, Michael; Willging, Cathleen E (2008) Multimethod evaluation of health policy change: an application to Medicaid managed care in a rural state. Health Serv Res 43:1325-47
Yager, Joel; Waitzkin, Howard; Parker, Tassy et al. (2007) Educating, training, and mentoring minority faculty and other trainees in mental health services research. Acad Psychiatry 31:146-51
Oetzel, John; Duran, Bonnie; Jiang, Yizhou et al. (2007) Social support and social undermining as correlates for alcohol, drug, and mental disorders in American Indian women presenting for primary care at an Indian Health Service hospital. J Health Commun 12:187-206
Waitzkin, Howard; Yager, Joel; Parker, Tassy et al. (2006) Mentoring partnerships for minority faculty and graduate students in mental health services research. Acad Psychiatry 30:205-17
Willging, Cathleen; Waitzkin, Howard; Wagner, William (2005) Medicaid managed care for mental health services in a rural state. J Health Care Poor Underserved 16:497-514
Chene, Roberto; Garcia, Lorenzo; Goldstrom, Margie et al. (2005) Mental health research in primary care: mandates from a community advisory board. Ann Fam Med 3:70-2
Duran, Bonnie; Malcoe, Lorraine Halinka; Sanders, Margaret et al. (2004) Child maltreatment prevalence and mental disorders outcomes among American Indian women in primary care. Child Abuse Negl 28:131-45
Duran, Bonnie; Walters, Karina L (2004) HIV/AIDS prevention in ""Indian country"": current practice, indigenist etiology models, and postcolonial approaches to change. AIDS Educ Prev 16:187-201
Schillaci, Michael A; Waitzkin, Howard; Carson, E Ann et al. (2004) Immunization coverage and Medicaid managed care in New Mexico: a multimethod assessment. Ann Fam Med 2:13-21
Escalona, Rodrigo; Achilles, Georgiana; Waitzkin, Howard et al. (2004) PTSD and somatization in women treated at a VA primary care clinic. Psychosomatics 45:291-6

Showing the most recent 10 out of 14 publications