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Determining Engagement in Services for High-Need Individuals with Serious Mental Illness
Authors:Thomas E. Smith  Anita Appel  Sheila A. Donahue  Susan M. Essock  Doreen Thomann-Howe  Adam Karpati  Trish Marsik  Robert W. Myers  Mark J. Sorbero  Bradley D. Stein
Affiliation:1. Columbia University College of Physicians & Surgeons, New York, NY, USA
2. New York State Psychiatric Institute, New York State Office of Mental Health, 1051 Riverside Drive, New York, NY, 10032, USA
3. New York City Field Office, New York State Office of Mental Health, New York, NY, USA
4. Office of Performance Measurement and Evaluation, New York State Office of Mental Health, New York, NY, USA
5. Harlem United, New York, NY, USA
6. New York City Department of Health and Mental Hygiene, New York, NY, USA
7. Bureau of Mental Health, New York City Department of Health and Mental Hygiene, New York, NY, USA
8. New York State Office of Mental Health, Albany, NY, USA
9. Community Care Behavioral Health Organization, Pittsburgh, PA, USA
10. RAND Corporation, New York, NY, USA
11. University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
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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