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Utilization management analysis for children's mental health services

J M Jerrell1

  • 1Department of Neuropsychiatry and Behavioral Science, School of Medicine, University of South Carolina, Columbia 29203, USA. jerrell.jeni@sc.edu

The Journal of Behavioral Health Services & Research
|March 27, 1998
PubMed
Summary

Identifying high-cost youth in public mental health services is crucial. Case management did not reduce overall costs, highlighting a need for better utilization review to control spending.

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Area of Science:

  • Health Services Research
  • Child and Adolescent Psychiatry
  • Public Health Policy

Background:

  • High-cost consumers significantly impact public mental health service budgets.
  • Understanding profiles of high-cost youth is essential for targeted interventions.

Purpose of the Study:

  • To efficiently identify high-cost child and adolescent consumers.
  • To analyze the characteristics of these high-cost consumers.
  • To evaluate the impact of case management on total service costs.

Main Methods:

  • Utilized existing public mental health service utilization and cost data.
  • Conducted analyses to profile high-cost consumers.
  • Assessed the correlation between case management intensity and total service costs.

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Main Results:

  • High levels of case management services were not associated with reduced total service costs.
  • A significant portion of service costs is attributable to a small group of high-cost consumers.

Conclusions:

  • Current case management approaches may not effectively lower costs for high-cost youth.
  • There is a need for enhanced case management review techniques to control service utilization and reduce overall expenditures.