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Introduction: risk-adjustment issues in mental health services.

M S Hendryx1, A Beigel, A Doucette

  • 1Washington Institute for Mental Illness Research and Training, Washington State University, Spokane 99201, USA. Hendryx@wsu.edu

The Journal of Behavioral Health Services & Research
|August 11, 2001
PubMed
Summary
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Risk adjustment is crucial for equitable comparisons of mental health outcomes across providers and systems. Proper selection of risk variables and analytic methods are essential for valid mental health risk adjustment.

Area of Science:

  • Health Services Research
  • Mental Health Policy
  • Biostatistics

Background:

  • Public and private entities are developing outcome measures for mental health services.
  • Comparing outcomes across providers, programs, and systems requires equitable adjustments.

Purpose of the Study:

  • To introduce the concept and importance of risk adjustment in mental health.
  • To outline key considerations for developing a valid risk adjustment methodology.

Main Methods:

  • Discussion of issues in selecting outcome and risk variables.
  • Review of data collection protocols and analytic methods for risk adjustment.
  • Emphasis on the identification of appropriate risk-adjustment variables and models.

Main Results:

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  • Risk adjustment is necessary for equitable comparisons of mental health outcomes.
  • Proper identification of risk variables and models is critical.
  • Several factors, including variable selection, data collection, and analysis, influence the validity of risk adjustment.

Conclusions:

  • Developing a valid risk-adjustment methodology requires careful consideration of multiple factors.
  • Next steps are needed to establish a robust approach to mental health risk adjustment.
  • The article provides a foundational overview for future development in this area.