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

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

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.

MeSH terms

  • Adult
  • Community-Institutional Relations
  • Health Services Needs and Demand / statistics & numerical data*
  • Humans
  • Medicaid / statistics & numerical data
  • Mental Disorders / therapy*
  • Mental Health Services / statistics & numerical data*
  • New York City
  • United States