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

Published In: Administration and Policy in Mental Health and Mental Health Services Research, v. 41, no. 5, Sep. 2014, p. 588-597

Posted on RAND.org on May 20, 2013

by Thomas E. Smith, Anita Appel, Sheila A. Donahue, S. Essock-Vitale, Doreen Thomann-Howe, Adam Karpati, Trish Marsik, Robert W. Myers, Mark J. Sorbero, Bradley D. Stein

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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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