PMID: 9444687Jan 28, 1998Paper

Field test of a tool for level-of-care decisions in community mental health systems

Psychiatric Services : a Journal of the American Psychiatric Association
D SrebnikM Smukler

Abstract

Tools for supporting decisions about placing clients in different levels of mental health care can facilitate several important functions, such as structuring service allocation, providing standards for quality assurance and concurrent review, designing service and benefit packages, and planning for resource needs. This paper describes a level-of-care decision-support tool and tests its reliability and concurrent validity. Panels of clinical managers and administrators of mental health centers developed a decision-support tool with eight levels of care and a computerized decision-tree algorithm for level-of-care placement. A random sample of 1,034 adults from one county mental health system were assessed by their case managers using a package that included variables in the eight-level model, but not the algorithm itself. Other variables were included to assess the tool's concurrent validity. Level-of-care placements based on the decision-support tool showed strong interrater reliability. Concurrent validity was demonstrated by significant relationships in the expected direction between level of care and psychiatric hospitalizations, arrests, residential moves, homeless periods, residential independence, lack of work activity, m...Continue Reading

Citations

Jun 19, 2013·Child Abuse & Neglect·Ka Ho Brian ChorJohn S Lyons
Nov 17, 2006·Administration and Policy in Mental Health·Laura HansonLois Dixon
Oct 31, 1998·The Journal of Behavioral Health Services & Research·P Roy-ByrneD Avery
May 2, 2001·The Journal of Behavioral Health Services & Research·J DurbinD Macfarlane
Jan 4, 2001·Substance Use & Misuse·D R GastfriendE Sharon
Aug 4, 2005·Psychiatric Rehabilitation Journal·Raymond Wing Cheong AuGabor Sander Ungvari
Sep 1, 2016·Journal of Addictions Nursing·Walter M Drymalski, Michael R Nunley
Mar 24, 2005·Health Care Management Science·Naoru KoizumiTony E Smith
Apr 18, 2019·International Journal of Mental Health Systems·Kota SuzukiChiyo Fujii

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