Table 4.
Staff members’ perceptions of integrating delivery and coordination of somatic services into the psychiatric rehabilitation program setting (N=627)
| % Agree | |
|---|---|
| Somatic Health Needs of Psychiatric Rehabilitation Program Clients: | |
| Our clients need help improving their overall cardiovascular health | 89% |
| Our clients need help losing weight | 93% |
| Our clients need help improving their diets | 97% |
| Our clients need help managing their medical conditions, like diabetes or HIV | 92% |
|
Organizational Fit of the Health Home Program within Psychiatric Rehabilitation Programs: Psychiatric rehabilitation programs are good places to: | |
| Implement physical activity interventions for clients, for example exercise classes | 88% |
| Implement dietary interventions for clients | 86% |
| Monitor and manage health conditions, like diabetes and hypertension | 85% |
| Implement smoking cessation programs | 89% |
| Implement individualized plans/interventions to improve physical health of clients | 93% |
| Implement group interventions to improve the physical health of clients | 93% |
|
Consistency of Health Home Program and Psychiatric Rehabilitation Program Missions: Psychiatric rehabilitation programs should: | |
| Provide medical advice to clients when they are sick | 58% |
| Work with psychiatrists to improve clients’ mental health | 97% |
| Work with substance use treatment providers to address clients’ substance use disorders | 96% |
| Work with primary care providers to improve clients’ physical health | 94% |
| Focus on addressing all of clients’ health and social needs | 90% |
| Focus more on social services than on healthcare services | 37% |
| Focus on psychiatric rehabilitation only, not physical health | 20% |
| Improving the physical health of clients should be part of our organization’s mission | 93% |
| Clients’ physical health is better addressed outside of psychiatric rehabilitation settings | 32% |
| Staff Members’ Perceptions of Accountability for Health Home Participant Outcomes | |
| I feel accountable for clients’ overall well-being | 83% |
| I feel accountable for clients’ mental health outcomes | 71% |
| I feel accountable for clients’ physical health outcomes | 54% |
| I feel accountable for clients’ health behavior outcomes, like smoking & weight loss | 45% |
| I feel accountable for clients’ social outcomes, like housing and employment | 66% |