Patient experiences in behavioral health integrated primary care settings: the role of stigma in shaping patient outcomes over time.

Publication Title

Psychol Health Med

Authors

Natalie Royal Kenton, Center for Outcomes Research and Education (CORE) , Providence Health & Services , Portland , OR , USAFollow
Lauren Broffman
Kyle G Jones, Providence Health & Services, Center for Outcomes Research and Education, 5251 NE Glisan Street, Portland, OR 97213, United StatesFollow
Kayla Albrecht Mcmenamin, Center for Outcomes Research and Education (CORE) , Providence Health & Services , Portland , OR , USAFollow
Maggie WellerFollow
Kristin Brown, Center for Outcomes Research and Education (CORE) , Providence Health & Services , Portland , OR , USAFollow
Jessica Currier
Bill J. Wright, Providence Health and ServicesFollow

Document Type

Article

Publication Date

3-29-2019

Keywords

psjh_core; Stigma; behavioral health integration; patient experience; provider relationships

Abstract

Behavioral health integration (BHI) models seek to improve patient experience and outcomes by bridging physical and behavioral health services. Past BHI research has not focused on stigma in these settings, which has been previously found to impact patient engagement and outcomes. We surveyed patients over a two year period at 12 integrated clinics in Oregon using measures developed by a Patient Advisory Team. Over a quarter of respondents reported stigmatization (26.81%). Compared to non-stigmatized patients, those who reported stigma had five times the odds of reporting unmet health needs (OR=5.14, p

Clinical Institute

Mental Health

Specialty/Research Institute

Behavioral Health

Specialty/Research Institute

Primary Care