Determining Engagement in Services for High-Need Individuals with Serious Mental Illness

被引：4

作者：

Smith, Thomas E. ^{[1
,2
]}

Appel, Anita ^{[3
]}

Donahue, Sheila A. ^{[4
]}

Essock, Susan M. ^{[1
,2
]}

Thomann-Howe, Doreen ^{[5
]}

Karpati, Adam ^{[6
]}

Marsik, Trish ^{[7
]}

Myers, Robert W. ^{[8
]}

Sorbero, Mark J. ^{[9
]}

Stein, Bradley D. ^{[10
,11
]}

机构：

[1] Columbia Univ Coll Phys & Surg, New York, NY 10032 USA

[2] New York State Off Mental Hlth, New York State Psychiat Inst, New York, NY 10032 USA

[3] New York State Off Mental Hlth, New York City Field Off, New York, NY USA

[4] New York State Off Mental Hlth, Off Performance Measurement & Evaluat, New York, NY USA

[5] Harlem United, New York, NY USA

[6] New York City Dept Hlth & Mental Hyg, New York, NY USA

[7] New York City Dept Hlth & Mental Hyg, Bur Mental Hlth, New York, NY USA

[8] New York State Off Mental Hlth, Albany, NY USA

[9] Community Care Behav Hlth Org, Pittsburgh, PA USA

[10] RAND Corp, New York, NY USA

[11] Univ Pittsburgh, Sch Med, Pittsburgh, PA USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2014年 / 41卷 / 05期

关键词：

Engagement; Behavioral health; Administrative data; Medicaid; Outreach; Serious mental illness; MISSED 1ST APPOINTMENTS; SHARED DECISION-MAKING; ANTIPSYCHOTIC MEDICATION; ADMINISTRATIVE DATA; CARE; ADHERENCE; SCHIZOPHRENIA; INTERVENTIONS; PREDICTORS; MANAGEMENT;

D O I：

10.1007/s10488-013-0497-1

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This study examined whether Medicaid claims and other administrative data could identify high-need individuals with serious mental illness in need of outreach in a large urban setting. A claims-based notification algorithm identified individuals belonging to high-need cohorts who may not be receiving needed services. Reviewers contacted providers who previously served the individuals to confirm whether they were in need of outreach. Over 10,000 individuals set a notification flag over 12-months. Disengagement was confirmed in 55 % of completed reviews, but outreach was initiated for only 30 %. Disengagement and outreach status varied by high-need cohort.

引用

页码：588 / 597

页数：10

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