Thomas E Smith1, Bradley D Stein, Sheila A Donahue, Mark J Sorbero, Adam Karpati, Trish Marsik, Robert W Myers, Doreen Thomann-Howe, Anita Appel, Susan M Essock. 1. Dr. Smith and Dr. Essock are with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, and with the New York State Psychiatric Institute, New York City (e-mail: tes2001@columbia.edu ). Dr. Stein is with the Department of Psychiatry, University of Pittsburgh, and with RAND Corporation, Pittsburgh. Ms. Donahue is with the New York State Office of Mental Health, Albany. Mr. Sorbero is with Community Care Behavioral Health Organization, Pittsburgh. Dr. Karpati is with the International Union Against Tuberculosis and Lung Disease, New York City. Ms. Marsik is with the New York City Department of Health and Mental Hygiene. Dr. Myers and Ms. Appel are with the New York State Office of Mental Health, Albany and New York City. Ms. Thomann-Howe is with Harlem United, New York City.
Abstract
OBJECTIVE: The study determined rates of reengagement in services for individuals with serious mental illness who had discontinued services. METHODS: As part of a quality assurance program in New York City involving continuous review of Medicaid claims and other administrative data, clinician care monitors identified 2,834 individuals with serious mental illness who were apparently in need of care but disengaged from services. The care monitors reviewed monthly updates of Medicaid claims, encouraged outreach from providers who had previously worked with identified individuals, and determined whether individuals had reengaged in services. RESULTS: Reengagement rates over a 12-month follow-up period were low, particularly for individuals who had been incarcerated or for whom no service provider was available to provide outreach. CONCLUSIONS: Subgroups of disengaged individuals with serious mental illness have different rates of reengagement. Active outreach by providers might benefit some, but such targeting is inefficient when the individual cannot be located.
OBJECTIVE: The study determined rates of reengagement in services for individuals with serious mental illness who had discontinued services. METHODS: As part of a quality assurance program in New York City involving continuous review of Medicaid claims and other administrative data, clinician care monitors identified 2,834 individuals with serious mental illness who were apparently in need of care but disengaged from services. The care monitors reviewed monthly updates of Medicaid claims, encouraged outreach from providers who had previously worked with identified individuals, and determined whether individuals had reengaged in services. RESULTS: Reengagement rates over a 12-month follow-up period were low, particularly for individuals who had been incarcerated or for whom no service provider was available to provide outreach. CONCLUSIONS: Subgroups of disengaged individuals with serious mental illness have different rates of reengagement. Active outreach by providers might benefit some, but such targeting is inefficient when the individual cannot be located.
Authors: Robert Constantine; Ross Andel; John Petrila; Marion Becker; John Robst; Gregory Teague; Timothy Boaz; Andrew Howe Journal: Psychiatr Serv Date: 2010-05 Impact factor: 3.084
Authors: Kathleen Lang; Jonathan Korn; Erik Muser; Jiyoon C Choi; Safiya Abouzaid; Joseph Menzin Journal: J Med Econ Date: 2011-03-04 Impact factor: 2.448
Authors: R C Kessler; P A Berglund; M L Bruce; J R Koch; E M Laska; P J Leaf; R W Manderscheid; R A Rosenheck; E E Walters; P S Wang Journal: Health Serv Res Date: 2001-12 Impact factor: 3.402
Authors: Lisa B Dixon; Faith Dickerson; Alan S Bellack; Melanie Bennett; Dwight Dickinson; Richard W Goldberg; Anthony Lehman; Wendy N Tenhula; Christine Calmes; Rebecca M Pasillas; Jason Peer; Julie Kreyenbuhl Journal: Schizophr Bull Date: 2009-12-02 Impact factor: 9.306
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 Journal: Adm Policy Ment Health Date: 2014-09
Authors: Alison Easter; Michele Pollock; Leah Gogel Pope; Jennifer P Wisdom; Thomas E Smith Journal: J Behav Health Serv Res Date: 2016-07 Impact factor: 1.505
Authors: Kimberly Eaton Hoagwood; Susan Essock; Joseph Morrissey; Anne Libby; Sheila Donahue; Benjamin Druss; Molly Finnerty; Linda Frisman; Meera Narasimhan; Bradley D Stein; Jennifer Wisdom; Judy Zerzan Journal: Adm Policy Ment Health Date: 2016-01