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Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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Multi-disciplinary Psychiatric Case Management Model in Hong Kong: Service Coverage and Risk Stratification.

C C Lee1, W W H Chui2, S L Wong1

  • 1Kwai Chung Hospital, Hong Kong.

East Asian Archives of Psychiatry : Official Journal of the Hong Kong College of Psychiatrists = Dong Ya Jing Shen Ke Xue Zhi : Xianggang Jing Shen Ke Yi Xue Yuan Qi Kan
|April 2, 2020
PubMed
Summary

At-risk patients in Hong Kong community mental health services received intensive care. However, risk stratification tools did not align with clinical assessments, suggesting a need for improved judgment in care planning.

Keywords:
Community mental health servicesMental disorders

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Area of Science:

  • Mental Health Services Research
  • Clinical Psychology
  • Healthcare Management

Background:

  • Hong Kong's community mental health services utilize a multi-disciplinary case management model.
  • Investigation into care intensity for at-risk patients and risk stratification concordance.

Purpose of the Study:

  • To determine if at-risk patients receive higher intensity care.
  • To assess concordance in risk stratification between personalized care programs and integrated community centers.

Main Methods:

  • Review of case management service records (April 2014-June 2015) in North Lantau and Mongkok districts.
  • Analysis of patient risk levels, demographics, and clinical characteristics.

Main Results:

  • At-risk patients received high-intensity care from both personalized care programs and integrated community centers.
  • Risk stratification did not correlate with psychopathology or psychosocial functioning assessment scores.
  • Assessment scales were found unsuitable for optimal risk stratification cut-off scores.

Conclusions:

  • Risk stratification should rely on structured clinical judgment.
  • Comprehensive information on protective and risk factors is crucial.
  • Over-reliance on assessment rating scale cut-off scores should be avoided.