Quest Mental Health Concierge Services User Guide

: June 12, 2024
: Quest

Table of Contents

Mental Health Concierge Services
Conclusions
References
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Key Summary of Published Article
Employee Mental Health
Concierge Services to Facilitate Treatment Utilization

Mental Health Concierge Services

Can use of mental health concierge services increase mental health treatment utilization for employees?

Background
An employer-sponsored mental health program was previously found to help identify risk of mental health conditions in employees and connect them with mental healthcare via concierge services. Whether concierge services led to employees getting mental health treatment was not established.
Population
Treatment utilization was compared between participants in an employee mental health risk screening program who chose to consult with a care concierge and those who did not.
Results
Likelihood of treatment use: concierge consultation vs no consultation

Quest Mental Health Concierge Services - Likelihood

Mental health concierge services offered through the workplace may enhance use of mental health services by employees.
Fragala MS, Tong CH, Hunter JL, et al. Facilitating mental health treatment through proactive screening and concierge services in the workplace. J Occup Environ Med. Published online October 3, 2022. doi:10.1097/jom.0000000000002707
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Maren S Fragala,a Carmen H Tong,a Jennifer L Hunter,b Nicol A Jelovic,b Joanna I Hayward,e Susan Carr,° Paul M Kim,e Matthew E Peters,e Charles E Birsea a Quest Diagnostics, Secaucus, NJ; b Emvitals, Cleveland, OH; eGuide+Thrive Powered by BHS, Baltimore, MD; °Johns Hopkins Healthcare Solutions, Baltimore, MD; e The Johns Hopkins University School of Medicine, Baltimore, MD

Citation: Fragala MS, Tong CH, Hunter JL, et al. J Occup Environ Med. Published online October 3, 2022.
doi:10.1097/jom.0000000000002707
Background
In the United States, 1 in 5 adults experience a mental health condition each year,1 and only 46% of those affected receive treatment. 1
In a previous study, an employer-sponsored mental health program (Johns Hopkins Balance) was found to help identify individuals with risk for mental health conditions and to connect those individuals to care resources via a mental healthcare concierge 2 ; however, it was not known at the time if employees received treatment following the intervention. Objectives: In this follow-up study, the investigators evaluated healthcare utilization following the implementation of an employer-sponsored mental health program.
Methods
The study population comprised employees at a national health services company who participated in the Balance program from September to December 2019; the program included an assessment of mental health risk.
– Individuals who were categorized as having moderate, high, or severe risk for mental health conditions were offered care concierge services.

A retrospective analysis of study (deidentified) data included (1) the number of employees with risk who had completed a mental healthcare concierge visit in 2019 and had (deidentified) behavioral health utilization data, and (2) the number employees with risk who did not meet with a healthcare concierge and had data during the study period.
Behavioral health utilization data was used to inform receipt of mental health treatment; statistical tools were used to compare the likelihood of receiving treatment related to mental health (ie, prescriptions, professional services, professional services not used prior to program intervention) among employees who met with a concierge and those who did not (ie, control group).

Results

Study participants included 8,170 employees who completed the mental health assessment.
Of these, 4,309 employees were categorized as having moderate, high, or severe risk for mental health conditions and were offered care concierge services.
– Behavioral health utilization data were available for 369 of the 541 employees who met with a concierge and for 2,433 of the 3,674 employees who did not.
Compared to control employees (n=2,433), employees who had received concierge services were more likely to receive the following treatments related to mental health in the following 6 months:
– Prescriptions (adjusted HR=1.2; CI: 1.0-1.5; P=0.04)
– Professional services (adjusted HR=1.4; CI: 1.1-1.8; P=0.02)
– Professional services not used prior to program intervention (adjusted HR=1.9; CI: 1.2-2.8; P=0.004)

Conclusions

These findings suggest that this employer-sponsored mental health program may facilitate the receipt of treatment among participants identified as having moderate to severe risk for mental health conditions.
References

National Alliance on Mental Illness. Mental health by the numbers. Updated February 2022. Accessed May 13, 2022.
https://nami.org/mhstats
Fragala MS, Hunter JL, Satish A, et al. Workplace mental health: Application of a population health approach of proactive screening to
identify risk and engage in care. J Occup Environ Med. 2021;63:244-250. doi: 10.1097/JOM.0000000000002116
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