This project is funded under the Robert Wood Johnson Foundation’s research program, “Health Data for Action (HD4A),” which makes valuable data from unique data owners available to researchers to answer important research questions. The goal of the study is to generate specific information about how individuals with severe mental illness (SMI) and chronic disease utilize integrated behavioral health (IBH) services within Federally-Qualified Health Centers (FQHCs), what level of IBH leads to best outcomes for this group, and what sources of variation affect this relationship. At the policy level, such findings can inform the refinement of FQHC models. Using 2016-2020 data from the OCHIN ADVANCE data warehouse, the study seeks to (1) identify patient, organizational and community-level factors affecting patterns of integrated behavioral health (IBH) service utilization patterns among individuals with severe mental illness (SMI) and chronic disease; (2) examine how patterns of IBH utilization affects service quality and clinical outcomes among this group, and (3) explore whether patient, organizational and community level factors moderate this relationship. The research team will used mixed-effects logistic regression methods and trajectory-based cluster analysis to assess their aims. Deliverables will include a project work plan and final narrative report. The researchers will also produce paper(s) suitable for publication and present findings at national research meetings and to other stakeholder audiences as appropriate, including policymakers at the federal, state, and local levels and other key stakeholders, as part of the deliverables for this grant.

Grant #78967
Grantee Organization: Fordham University
Grantee period: 12/1/2021– 11/30/2023

Principal Investigators:

Matthews headshot
Researcher

Elizabeth Matthews, Ph.D., M.S.W.

Assistant Professor - Fordham University Graduate School of Social Service

Dr. Matthews is currently an assistant professor at Fordham University Graduate School of Social Service. Read Bio