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Compliance and costs in a case management model
Community Mental Health Journal
|April 13, 2001
Summary
This study found high compliance rates in case management (CM) for serious mental illness. However, appointment compliance did not impact service costs, and no demographic factors predicted noncompliance.
Area of Science:
- Mental Health Services Research
- Health Services Administration
- Psychiatric Care Delivery
Background:
- Case management (CM) team models are standard for serious and persistent mental illnesses.
- Compliance with outpatient appointments is a critical, yet understudied, aspect of CM.
- Understanding compliance is vital for optimizing mental health service delivery.
Purpose of the Study:
- To investigate the relationship between psychiatric outpatient appointment compliance and service costs.
- To examine predictors of noncompliance within an integrated CM system.
- To inform quality assurance in public mental health services.
Main Methods:
- Pilot quality assurance study using cross-sectional and longitudinal designs.
- Two participant groups randomly selected based on a compliance data point.
- Analysis of compliance rates, service costs, and demographic variables.
Main Results:
- Observed relatively high compliance rates with significant group differences over time.
- Found no significant differences in service costs between groups over time.
- Identified no demographic variables (age, distance, ethnicity, diagnosis, functioning) predicting noncompliance.
Conclusions:
- High appointment compliance is achievable in CM for serious mental illness.
- Appointment compliance does not appear to directly influence service costs in this model.
- Further research is needed to identify effective strategies for addressing noncompliance.
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