A formative assessment of client characteristics associated with missed appointments in integrated primary care services in rural Arizona

Jeffersson Santos, Carolyn Camplain, Amanda Marie Pollitt, Julie Ann Baldwin

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Integrating primary care services in mental healthcare facilities is an uncommon model of care in the United States that could bring several benefits (e.g., improved access to physical healthcare) for vulnerable populations experiencing mental health conditions, especially those living in underserved regions like rural Arizona. Aim: This formative assessment aimed to understand the sociodemographic and clinical characteristics of clients accessing integrated primary care (IPC) services implemented in 2021 at a community mental healthcare facility in rural Arizona and to explore the proportion of missed appointments. Additionally, we analysed the association between client characteristics and IPC missed appointments. Methods: The authors collaborated with a community mental health facility in rural Arizona, which provided deidentified data from 280 clients who accessed IPC services from June 2021 to February 2022. Results: Most clients were White and of vulnerable socioeconomic status, with a substantial proportion of Native Americans (23.58%). The majority of clients (55.75%) had a mental health disorder (MHD), 23.74% had a substance use disorder (SUD), and 15.10% had comorbid MHD and SUD. Linear regression revealed that experiencing comorbid MHD and SUD was significantly associated with missed appointments. Compared with White clients, Native Americans missed fewer appointments. Conclusion: Future studies conducted from a culturally-centred perspective are crucial to guide strategies to reduce missed appointments in rural IPC services.

Original languageEnglish (US)
Pages (from-to)243-250
Number of pages8
JournalJournal of Evaluation in Clinical Practice
Volume30
Issue number2
DOIs
StatePublished - Mar 2024

Keywords

  • delivery of healthcare
  • interdisciplinary health teams
  • mental health services
  • primary care

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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