A Case Study and Evaluation of Programs Addressing Social Determinants of Health for Individuals with Serious Mental Illness

​In recent years, determinants of health have expanded to include a focus on how personal, interpersonal, community, and systemic factors impact individuals' physical and mental health. Aetna contracted with NORC at the University of Chicago (NORC) to conduct a case study of the expansion of supportive services for individuals with serious mental illness (SMI) enrolled in the Mercy Maricopa Integrated Care (Mercy Maricopa) Medicaid managed care plan in Maricopa and parts of Pinal County, Arizona, and to evaluate several supportive services and programs available to this population.

​The case study describes the expansion of housing, employment, court, and peer support services for individuals with SMI enrolled in Mercy Maricopa and presents information, including lessons learned, gathered from over 20 interviews with 35 individuals, including state and local government officials, Mercy Maricopa leadership and staff, clinical providers, advocates, and other stakeholders.

​NORC also conducted a mixed-methods evaluation of several Mercy Maricopa programs and services, specifically the Permanent Supportive Housing program, the Assertive Community Treatment program, and supported employment services. NORC analyzed enrollment and claims files from Mercy Maricopa and conducted a series of semi-structured interviews with stakeholders. This study examined and described the impact of these programs on cost, utilization, and member experience.

​To review the case study and evaluation reports, please see https://news.aetna.com/2018/02/partnership-and-promise-improving-the-health-of-a-community.