Understanding how insurance and organizations affect care for serious mental illness.

The Role of Insurance Networks and Organizational Factors in Guideline-Concordant Care for Serious Mental Illness

NIH-funded research Baystate Medical Center, INC. · NIH-11002556

This study looks at how insurance plans and healthcare organization factors affect the quality of care for people with serious mental illnesses like schizophrenia, aiming to find out what gets in the way of them getting the right medications and therapy to feel better.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionBaystate Medical Center, INC. NIH-funded
Lab location1 site (Springfield, United States)
Project IDNIH-11002556 on NIH RePORTER

What this research studies

This research investigates how insurance networks and organizational factors influence the quality of care that individuals with serious mental illnesses, particularly schizophrenia, receive. It aims to identify barriers to guideline-concordant care, which includes appropriate medications and psychotherapy, that can lead to better health outcomes. By analyzing health insurance enrollment and claims data, the study seeks to uncover systemic issues that may prevent patients from receiving the care they need. The findings could help improve treatment pathways and enhance the overall quality of mental health services.

Who could benefit from this research

Good fit: Ideal candidates for this research are individuals diagnosed with serious mental illnesses, particularly schizophrenia, who may be affected by the quality of care they receive.

Not a fit: Patients with serious mental illnesses who are already receiving guideline-concordant care may not see additional benefits from this research.

Why it matters

Potential benefit: If successful, this research could lead to improved access to effective treatments for individuals with serious mental illnesses, ultimately enhancing their health and quality of life.

How similar studies have performed: Previous research has shown that addressing systemic factors in healthcare can lead to significant improvements in treatment adherence and patient outcomes, suggesting that this approach has potential for success.

Where this research is happening

Springfield, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.