Facilitating Mental Health Treatment Through Proactive Screening and Concierge Services in the Workplace
Maren S Fragala1, Carmen H Tong, Jennifer L Hunter
1From the Quest Diagnostics, Secaucus, New Jersey (Dr Fragala, Ms Tong, Dr Birse); Emvitals, Cleveland, Ohio (Ms Hunter, Ms Jelovic); Guide+Thrive by BHS, Baltimore, Maryland (Dr Hayward); Johns Hopkins Healthcare Solutions, Baltimore, Maryland (Ms Carr); The Johns Hopkins University School of Medicine, Baltimore, Maryland (Dr Kim, Dr Peters).
Objective:
The aim of this study is to determine if a proactive employer-sponsored mental health program closed gaps in detection and treatment of mental health conditions.
Methods:
Of n = 56,442 eligible, n = 8170 (14.5%) participated in the optional screening. Participants with mental health risk were offered care concierge services including support, care planning, and connection to care. Difference in behavioral health care utilization, diagnoses, and prescriptions were evaluated postintervention through claims analysis.
Results:
Compared with controls (n = 2433), those receiving concierge services (n = 369) were more likely to fill mental health prescriptions (adjusted hazards ratio [HR], 1.2; 1.0-1.5; P = 0.042), use professional mental health services (adjusted HR, 1.4; 1.1-1.8; P = 0.02), and use new mental health services (adjusted HR, 1.9; 1.2-2.8; P = 0.004) in the following 6 months.
Conclusions:
This proactive mental health program with care concierge services identified risk, connected individuals to mental health care, and facilitated mental health treatment, among program participants.
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