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Defining Episodes of Care in Children's Mental Health Using Administrative Data

Graham Reid1,2,3,4,5, Shannon L Stewart6,7, Gregory S Zaric8

  • 1Department of Psychology, University of Western Ontario, London, ON, Canada. greid@uwo.ca.

Administration and Policy in Mental Health
|November 19, 2014
PubMed

Insights

Defining an episode of care in children's mental health services is crucial. A minimum of 3 visits with 180 days between episodes best defines service periods for research and planning.

Area of Science:

  • Child and Adolescent Psychiatry
  • Health Services Research
  • Mental Health Services

Background:

  • Defining an episode of care is essential for accurate analysis in children's mental health services.
  • Current methods for defining service periods lack standardization, impacting research and planning.

Purpose of the Study:

  • To establish optimal criteria for defining an episode of care in pediatric mental health services.
  • To improve the accuracy of service utilization data and facilitate better service planning.

Main Methods:

  • Analysis of 5 years of visit data from 5,206 children (aged 4-11) across three mental health agencies.
  • Evaluation of various criteria, including visit frequency and time intervals, to define episode start and end points.

Main Results:

  • A minimum of 3 visits with 180 days between episodes demonstrated the best agreement with established episode markers.
  • This criterion improved alignment with telephone intake assessments and clinician-rated episode counts.

Conclusions:

  • The proposed criteria (3 visits, 180 days) offer a reliable method for defining episodes of care in children's mental health.
  • This approach enhances the clarity of service distribution over time, supporting robust research and precise service planning.

Keywords:
Access/demand/utilization of servicesChild and adolescent healthHealth care organizations and systemsManaged care techniquesMental healthUtilization review

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