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Determining engagement in services for high-need individuals with serious mental illness
Thomas E Smith1, Anita Appel, Sheila A Donahue
1Columbia University College of Physicians & Surgeons, New York, NY, USA, tes2001@columbia.edu.
Abstract:
This study examined whether Medicaid claims and other administrative data could identify high-need individuals with serious mental illness in need of outreach in a large urban setting. A claims-based notification algorithm identified individuals belonging to high-need cohorts who may not be receiving needed services. Reviewers contacted providers who previously served the individuals to confirm whether they were in need of outreach. Over 10,000 individuals set a notification flag over 12-months. Disengagement was confirmed in 55 % of completed reviews, but outreach was initiated for only 30 %. Disengagement and outreach status varied by high-need cohort.
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