title: Determining engagement in services for high-need individuals with serious mental illness.
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.
authors: Columbia University College of Physicians & Surgeons, New York, NY, USA, tes2001@columbia.edu.
authors: Thomas E
authors: TE
authors: Smith
authors: Anita
authors: A
authors: Appel
authors: Sheila A
authors: SA
authors: Donahue
authors: Susan M
authors: SM
authors: Essock
authors: Doreen
authors: D
authors: Thomann-Howe
authors: Adam
authors: A
authors: Karpati
authors: Trish
authors: T
authors: Marsik
authors: Robert W
authors: RW
authors: Myers
authors: Mark J
authors: MJ
authors: Sorbero
authors: Bradley D
authors: BD
authors: Stein
mesh_terms: D000328:Adult; D003159:Community-Institutional Relations; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D008484:Medicaid / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D009519:New York City; D014481:United States
references: Schizophr Bull. 2009 Jul;35(4):696-703
references: 19491314
references: Community Ment Health J. 2005 Apr;41(2):141-58
references: 15974495
references: Psychiatr Serv. 2006 Apr;57(4):531-7
references: 16603749
references: Community Ment Health J. 2008 Oct;44(5):321-30
references: 18401711
references: Health Serv Res. 2001 Dec;36(6 Pt 1):987-1007
references: 11775672
references: Psychiatr Serv. 2005 Feb;56(2):179-85
references: 15703345
references: Am J Public Health. 2002 Jan;92(1):92-8
references: 11772769
references: Community Ment Health J. 2008 Dec;44(6):459-64
references: 18516679
references: Psychiatr Serv. 2007 Jun;58(6):868-71
references: 17535950
references: Am J Med Qual. 2010 Jan-Feb;25(1):42-50
references: 19855046
references: Psychiatr Serv. 2007 Sep;58(9):1219-21
references: 17766569
references: Am J Psychiatry. 2002 Oct;159(10):1653-64
references: 12359668
references: Psychiatr Serv. 2011 Sep;62(9):1094-7
references: 21885591
references: Am J Psychiatry. 2004 Apr;161(4):692-9
references: 15056516
references: BMJ. 2007 Aug 18;335(7615):336
references: 17631513
references: Psychiatr Serv. 2002 Sep;53(9):1173-6
references: 12221319
references: Psychiatr Serv. 2009 Aug;60(8):1007
references: 19648184
references: Psychiatr Serv. 2007 Jan;58(1):114-20
references: 17215421
references: J Urban Health. 2010 Jan;87(1):129-35
references: 19898940
references: Psychol Med. 2003 Oct;33(7):1149-60
references: 14580069
references: J Urban Health. 2009 Mar;86(2):230-41
references: 19082899
references: Soc Psychiatry Psychiatr Epidemiol. 2009 Jul;44(7):558-68
references: 19037573
references: Community Ment Health J. 2005 Dec;41(6):757-74
references: 16328588
references: Health Aff (Millwood). 2007 Nov-Dec;26(6):1643-54
references: 17978384
references: Med Care. 2009 Jul;47(7 Suppl 1):S51-5
references: 19536019
references: Psychiatr Serv. 2007 Dec;58(12):1563-9
references: 18048557
references: J Clin Psychopharmacol. 2003 Aug;23(4):389-99
references: 12920416
references: BMC Psychiatry. 2010 Jan 28;10:11
references: 20109170
references: Psychiatr Serv. 2011 Jan;62(1):9-11
references: 21209292
references: Lancet. 2013 May 11;381(9878):1627-33
references: 23537605
references: Arch Gen Psychiatry. 2012 Jan;69(1):80-8
references: 21893643