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

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Abstract

Criteria to define an episode of care in children’s mental health services are needed. Various criteria were applied to 5 years of visit data from children 4–11 years (N = 5,206) at their first visit to 1 of 3 children’s mental health agencies. A minimum of 3 visits with 180 days between episodes optimized agreement with other dates (e.g., telephone intake assessment) marking the start and end of an episode, and clinician-rated number of episodes. Grouping visits into episodes provides a clearer representation of how services are distributed over extended periods of time, facilitating research and enhancing accuracy in service planning.

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Acknowledgments

We greatly appreciate the time and effort of the administrative and clinical staff at the agencies who participated in this study.

Funding

This project was supported by a grant from The Provincial Centre of Excellence for Child and Youth Mental Health at CHEO (#RG-665). G. Reid is supported by the Children’s Health Foundation. G. Zaric is supported by the Canada Research Chairs Program.

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Authors and Affiliations

  1. Department of Psychology, University of Western Ontario, London, ON, Canada

    Graham Reid, Richard W. J. Neufeld & Juliana I. Tobon

  2. Department of Family Medicine, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada

    Graham Reid & Evelyn R. Vingilis

  3. Department of Paediatrics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada

    Graham Reid

  4. Children’s Health Research Institute, London, ON, Canada

    Graham Reid

  5. Lawson Health Research Institute, London, ON, Canada

    Graham Reid

  6. Faculty of Education, University of Western Ontario, London, ON, Canada

    Shannon L. Stewart

  7. Division of Child and Adolescent Psychiatry, Department of Psychiatry, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada

    Shannon L. Stewart

  8. Ivey Business School, University of Western Ontario, London, ON, Canada

    Gregory S. Zaric

  9. Vanier Children’s Services, London, ON, Canada

    Jeffrey R. Carter

  10. Department of Psychiatry, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada

    Richard W. J. Neufeld

  11. Neuroscience Program, University of Western Ontario, London, ON, Canada

    Richard W. J. Neufeld

  12. St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada

    Juliana I. Tobon

  13. Community Health Systems Research Group, Psychiatry, The Hospital for Sick Children, Toronto, ON, Canada

    Melanie Barwick

  14. Department of Psychiatry and Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

    Melanie Barwick

  15. Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada

    Evelyn R. Vingilis

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  1. Graham Reid
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  2. Shannon L. Stewart
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  3. Gregory S. Zaric
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  4. Jeffrey R. Carter
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  5. Richard W. J. Neufeld
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  6. Juliana I. Tobon
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  7. Melanie Barwick
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  8. Evelyn R. Vingilis
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Corresponding author

Correspondence to Graham Reid.

Appendix

Appendix

See Table 4 and Fig. 4.

Table 4 Number of days between clinician defined start and end of an episode and operational definitions, for the first episode of care
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Fig. 4
figure 4

Number of days difference between the start of an episode of care as defined by clinicians in the electronic record, and the start of an episode defined by various operational definitions of an episode. Number of visits per episode is a minimum. Data are for the third episode

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Reid, G., Stewart, S.L., Zaric, G.S. et al. Defining Episodes of Care in Children’s Mental Health Using Administrative Data. Adm Policy Ment Health 42, 737–747 (2015). https://doi.org/10.1007/s10488-014-0609-6

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