Needs-based planning: evaluation of a level-of-care planning model

The Journal of Behavioral Health Services & Research
J DurbinD Macfarlane

Abstract

With the closure of a number of provincial psychiatric hospitals planned, the Ministry of Health of Ontario has commissioned a series of planning projects to identify alternative placements for current hospital patients. The goal is to match need to care in the least restrictive setting. A systematic, clinically driven planning process was implemented that involved three steps: development of a continuum of levels of care representing increasingly intensive and more restrictive supports, development of criteria and decision rules for placement, and comprehensive needs assessment of current patients using the Colorado Client Assessment Record. Results showed that only 10% of current inpatients need to remain in the hospital, and over 60% could live independently in the community with appropriate supports. Evidence supports concurrent validity of the planning model, but further work is needed to assess whether recommended levels of care effectively meet consumer needs in the least restrictive setting.

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Citations

Jul 21, 2004·The Journal of Behavioral Health Services & Research·Janet DurbinGeorge Pink
Nov 17, 2006·Administration and Policy in Mental Health·Laura HansonLois Dixon
Oct 1, 2005·Mental Health Services Research·Eri KunoJoel Greenwald
Aug 16, 2008·The Journal of Behavioral Health Services & Research·Lindsey GeorgeChristopher J Koegl
Jun 19, 2013·Child Abuse & Neglect·Ka Ho Brian ChorJohn S Lyons
Mar 5, 2016·The Journal of Behavioral Health Services & Research·Alireza AmirsadriCynthia L Arfken
Jun 18, 2005·The Milbank Quarterly·Nora JacobsonPaula Goering
Mar 26, 2003·Psychiatric Rehabilitation Journal·Janet DurbinRobert G Cooke
Jan 16, 2009·American Journal on Intellectual and Developmental Disabilities·Yona LunskyChris Koegl
Sep 1, 2016·Journal of Addictions Nursing·Walter M Drymalski, Michael R Nunley
Jun 17, 2016·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Carolyn S DewaJeffrey S Hoch
Apr 18, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Qinqin ChengYongyi Chen
Jul 6, 2014·Israel Journal of Health Policy Research·Netta BenturZvi Symon
Oct 5, 2010·Journal of Religion and Health·Pamela MeredithRichard Hutch
Dec 18, 2008·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Brian Rush, Christopher J Koegl

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