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. 2014 Sep;41(5):588-97.
doi: 10.1007/s10488-013-0497-1.

Determining engagement in services for high-need individuals with serious mental illness

Thomas E Smith  1 , Anita Appel, Sheila A Donahue, Susan M Essock, Doreen Thomann-Howe, Adam Karpati, Trish Marsik, Robert W Myers, Mark J Sorbero, Bradley D Stein
Affiliations

Determining engagement in services for high-need individuals with serious mental illness

Thomas E Smith et al. Adm Policy Ment Health. 2014 Sep.

Abstract

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.

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Figures

Fig. 1
Fig. 1
Target high-need cohorts and cases reviewed in NYC Care Monitoring Initiative, January–December 2010, Brooklyn
Fig. 2
Fig. 2
Cumulative numbers of individuals in high-need cohorts meeting notifications in Brooklyn, January–December 2010
Fig. 3
Fig. 3
Category assignments for 4,314 completed case reviews with High Clinical Concern subgroup classifications
See this image and copyright information in PMC

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References

    1. Adams JR, Drake RE, Wolford GL. Shared decision-making preferences of people with severe mental illness. Psychiatric Services. 2007;58(9):1219–1221. - PubMed
    1. Appelbaum PS, Le Melle S. Techniques used by assertive community treatment (ACT) teams to encourage adherence: Patient and staff perceptions. Community Mental Health Journal. 2008;44(6):459–464. - PubMed
    1. Ascher-Svanum H, Nyhuis AW, Faries DE, Ball DE, Kinon BJ. Involvement in the US criminal justice system and cost implications for persons treated for schizophrenia. BMC Psychiatry. 2010;10(11) - PMC - PubMed
    1. Billings J, Mijanovich T. Improving the management of care for high-cost Medicaid patients. Health Affairs. 2007;26(6):1643–1654. - PubMed
    1. Burns T, Catty J, Dash M, Roberts C, Lockwood A, Marshall M. Use of intensive case management to reduce time in hospital in people with severe mental illness: Systematic review and meta-regression. BMJ. 2007;335(7615):336. - PMC - PubMed

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