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Defining the severely mentally disabled.

W A Hargreaves, M LeGoullon, J Gaynor

    Evaluation and Program Planning
    |December 12, 1983
    PubMed
    Summary
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    Defining the "known target population of severely mentally disabled" in community mental health centers requires focusing on intensive treatment and persistent disability, not just diagnosis. This approach aids in identifying individuals for crucial services research.

    Area of Science:

    • Community mental health services research
    • Psychiatric epidemiology
    • Health services administration

    Background:

    • Accurate identification of severely mentally disabled populations is crucial for effective resource allocation and service planning in community mental health centers.
    • Existing definitions may not adequately capture individuals with persistent, severe functional impairments who require intensive treatment.
    • The need for standardized criteria to identify this specific patient group for research purposes.

    Purpose of the Study:

    • To examine and define the "known target population of severely mentally disabled" within community mental health center settings.
    • To establish clear criteria for identifying this population that emphasize functional disability and treatment engagement.
    • To demonstrate the feasibility and reliability of screening procedures for this target group.

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    Main Methods:

    • Development and application of screening criteria focusing on intensive treatment contact and persistent, severe disability.
    • Exclusion of diagnostic labels as the primary criterion for inclusion.
    • Evaluation of the feasibility and reliability of the proposed screening procedures.

    Main Results:

    • The study identified a target population characterized by intensive treatment contact and persistent, severe disability.
    • Screening procedures were demonstrated to be feasible and reliable for identifying this population.
    • A significant proportion of the identified individuals had a history of schizophrenia diagnosis and public assistance receipt.

    Conclusions:

    • The proposed definition and screening criteria effectively identify a severely mentally disabled population in community mental health centers.
    • These criteria, focusing on functional impairment and treatment, are applicable to catchment-based systems.
    • The findings are expected to be valuable for future mental health services research and policy development.