OBJECTIVE: To examine differences across a community mental health system and a private managed care system in the accuracy of a warning system designed to identify youth at risk for deterioration in mental health services. DESIGN: Longitudinal outcome data from the Youth Outcome Questionnaire (Y-OQ) were examined using multilevel modeling for 2,310 youth ages 4-17 who received outpatient treatment. RESULTS: The warning system correctly identified 69% of cases that ultimately ended in deterioration in the community mental health setting, compared to 61% in the managed care setting. The overall hit rate (overall accuracy in classifying cases as deteriorators/non-deteriorators) was the same in the two settings (75%). CONCLUSIONS: Results are consistent with previous research demonstrating that patient-focused warning systems can be reasonably accurate in identifying youth cases at risk for treatment failure.
OBJECTIVE: To examine differences across a community mental health system and a private managed care system in the accuracy of a warning system designed to identify youth at risk for deterioration in mental health services. DESIGN: Longitudinal outcome data from the Youth Outcome Questionnaire (Y-OQ) were examined using multilevel modeling for 2,310 youth ages 4-17 who received outpatient treatment. RESULTS: The warning system correctly identified 69% of cases that ultimately ended in deterioration in the community mental health setting, compared to 61% in the managed care setting. The overall hit rate (overall accuracy in classifying cases as deteriorators/non-deteriorators) was the same in the two settings (75%). CONCLUSIONS: Results are consistent with previous research demonstrating that patient-focused warning systems can be reasonably accurate in identifying youth cases at risk for treatment failure.
Authors: Ann F Garland; Rachel Haine-Schlagel; Lauren Brookman-Frazee; Mary Baker-Ericzen; Emily Trask; Kya Fawley-King Journal: Adm Policy Ment Health Date: 2013-01
Authors: Maartje A M S van Sonsbeek; Giel G J M Hutschemaekers; Jan Willem Veerman; Bea B G Tiemens Journal: BMC Psychiatry Date: 2014-01-06 Impact factor: 3.630
Authors: Graham J Reid; Shannon L Stewart; Melanie Barwick; Jeffrey Carter; Alan Leschied; Richard W J Neufeld; Jeff St Pierre; Juliana I Tobon; Evelyn Vingilis; Gregory S Zaric Journal: BMC Health Serv Res Date: 2019-12-23 Impact factor: 2.655