Gender differences of mental health consumers accessing integrated primary and behavioral care

Abstract

Persons with severe mental illness and addiction are at higher risk for early morbidity and mortality than the general population, and are less likely to receive primary care and preventive health services. Primary and behavioral integrated care programs aim to reduce these health disparities by providing comprehensive health and wellness services. Gender in particular may play a significant role in individuals’ engagement and outcomes in such programs. Hence, this study examines the salient characteristics of behavioral health consumers accessing an integrated care program at a large community mental health center. Baseline gender differences in consumer demographics, substance use, psychological distress and functioning, physical health indicators, and risk factors for serious medical conditions are examined. Our results demonstrate that key gender differences exist and may warrant distinct treatment needs for men and women receiving integrated care.

Keywords:

• integrated care
• gender differences
• mental illness
• health disparities
• primary care

Acknowledgments

This study was funded by a PBHCI grant awarded by SAMHSA (SM59721) in October 2010 to Marie Hobart as grant leader. These data were presented at the NEPA annual conference on 13 October 2012. Special thanks belong to the Wellness Team at Community Healthlink.