Utilization of acute inpatient psychiatric services: “Heavy users” in New York State
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The severely and persistently mentally ill (SPMI) population are often forced to rely on emergency/acute inpatient services. The authors analyze Medicaid expenditures and state hospital utilization data to identify and describe the characteristics of “heavy users” of these services. Also described is New York State's intensive case management (ICM) initiative targeted at this “heavy user” group. It is postulated that ICM will alter the utilization patterns of participants from over-reliance on the most costly services and more effectively and efficiently serve the SPMI population, specifically the “heavy user” subpopulation.
- Bassuk, E.L., & Holland, S.K. (1987, July). Accounting for high cost psychiatric care.Business and Health, pp. 38–41.
- Donahue, S.A., Martin, R.J., & Pulice, R.T. (1989).Adult intensive case management evaluation: First year final report (OMH Contract No. C00295). Albany, NY: New York State Office of Mental Health.
- Freund, D.A., & Hurley, R.E. (1987). Managed care in Medicaid: Selected issues in program origins, design, and research.Annual Review of Public Health, 8, 137–163.
- Goldstein, J.M., & Horgan, C.M. (1988). Inpatient and outpatient psychiatric services: Substitutes or compliments?Hospital and Community Psychiatry, 39, 632–636.
- Hadley, T.R., Schinnar, A.P., Rothbard, A.B. & Kinosian, M.S. (1988).Capitation of mental health services for the chronically mentally ill (Wharton PMW Report No. 8801). Philadelphia: University of Pennsylvania, The Wharton School, Policy Modeling Workshop.
- Levin, B.L., Glasser, J.H., & Jaffee, Jr., C.L. (1988). National trends in coverage and utilization of mental health, alcohol, and substance abuse services within managed health care systems.American Journal of Public Health, 78, 1222–1223.
- Miller, G.E. (1984). The future of the chronically mentally ill. In M. Mirabi (Ed.),The chronically mentally ill: Research and services (pp. 307–327). New York: Spectrum Publications, Inc.
- Redick, R.W., Witkin, M.J., Atay, J.E., Fell, A.S., & Manderscheid, R.W. (1987). Expenditures and sources of funds for mental health organizations, United States, 1983 (DHHS Publication No. ADM 87-1510). Rockville, MD: Department of Health and Human Services.
- Taube, C., Lee, E.S., & Forthofer, R.N. (1984). DRGs in psychiatry: An empirical evaluation.Medical Care, 22, 597–610.
- Turner, J.C., & TenHoor, W.J. (1978). The NIMH community support program: Pilot approach to a needed social reform.Schizophrenia Bulletin, 4, 319–344.
- Utilization of acute inpatient psychiatric services: “Heavy users” in New York State
Administration and Policy in Mental Health and Mental Health Services Research
Volume 18, Issue 3 , pp 173-181
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- Kluwer Academic Publishers-Human Sciences Press
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- Author Affiliations
- 1. Bureau of Evaluation and Services Research, New York State Office of Mental Health, 44 Holland Ave., 12229, Albany, NY
- 2. Dept. of Social Welfare, State Univ. of New York, New York, USSR