OBJECTIVE: Although primary care is associated with better outcomes, many individuals with serious @entity1032 do not receive general medical services. This study examined @entity1 -level factors associated with not having outpatient general medical visits among individuals with serious @entity1032 in @entity7452 . METHODS: The study analyzed administrative, pharmacy, and billing data for 56,895 Medicaid-enrolled adults with serious @entity1032 treated in community mental health clinics between October 1, 2010, and September 20, 2011. Poisson regression estimated independent associations between predictor variables and outpatient general medical visits. RESULTS: One-third of @entity1 (34%) had no outpatient general medical visits during the study. In multivariate analyses, younger adults (ages 18-27) were less likely than older groups to have such a visit (adjusted relative risk [ARR]=1.07 and 1.19, respectively, for ages 28-47 and 48-67). @entity1 were more likely than @entity1 to have such a visit ( @entity5262 .29). Compared with whites, blacks were less likely to have an outpatient general medical visit (ARR=.93). Rural dwellers were less likely than urban dwellers to have such a visit (ARR=.64). @entity1 with drug or @entity285 use disorders were less likely than those without such disorders to have an outpatient general medical visit (ARR=.95), and those with @entity161 were less likely than those with any other @entity146 examined to have such a visit. CONCLUSIONS: Individuals with serious @entity1032 had low use of outpatient general medical services. Integrated care models are needed to engage these individuals and eliminate disparities in morbidity and mortality.

Nonpsychiatric Outpatient Care for Adults With Serious XXXX in @entity7452 : Who Is Being Left Behind?

@entity1 :: ('9606', 'Species') :: ['participants', 'Persons', 'Women', 'patient', 'men'] @entity1032 :: ('MESH:D008607', 'Disease') :: ['mental illness'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric disorder'] @entity5262 :: ('408', 'Gene') :: ['ARR=1'] @entity7452 :: ('MESH:D004670', 'Disease') :: ['California'] @entity161 :: ('MESH:D012559', 'Disease') :: ['schizophrenia'] @entity285 :: ('D000431', 'Chemical') :: ['alcohol']
@entity1032 :: (MESH:D008607,Disease) :: ['Mental Illness']
