Utilization of acute inpatient psychiatric services: “Heavy users” in New York State
- 53 Downloads
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.
KeywordsPublic Health Case Management State Hospital Psychiatric Service Utilization Pattern
Unable to display preview. Download preview PDF.
- Bassuk, E.L., & Holland, S.K. (1987, July). Accounting for high cost psychiatric care.Business and Health, pp. 38–41.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- Goldstein, J.M., & Horgan, C.M. (1988). Inpatient and outpatient psychiatric services: Substitutes or compliments?Hospital and Community Psychiatry, 39, 632–636.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- Taube, C., Lee, E.S., & Forthofer, R.N. (1984). DRGs in psychiatry: An empirical evaluation.Medical Care, 22, 597–610.Google Scholar
- Turner, J.C., & TenHoor, W.J. (1978). The NIMH community support program: Pilot approach to a needed social reform.Schizophrenia Bulletin, 4, 319–344.Google Scholar