Abstract
Efficient identification of high-cost child and adolescent consumers of public mental health services using existing utilization and cost data is illustrated, along with analyses that profile these high-cost consumers and demonstrate the effect on total service cost per client of providing case management. The results indicate that providing high levels of case management services is not correlated with reductions in total service costs and that there is a need in the service system for using high-cost case management review techniques to control service utilization and lower costs.
Similar content being viewed by others
References
Burchard JD, Clarke RT: The role of individualized care in a service delivery system for children and adolescents with severely maladjusted behavior.Journal of Mental Health Administration 1990; 17:48–60.
Duchnowski AJ, Johnson MK, Hall KS, et al.: The alternatives to residential treatment study: Initial findings.Journal of Emotional and Behavioral Disorders 1993; 1:17–26.
Early K, Poertner J: Examining current approaches to case management services for families with children who have serious emotional disorders. In: Friesen B, Poertner J (Eds.):From Case Management to Service Coordination for Children With Emotional, Behavioral, or Mental Disorders. Baltimore: P.H. Brookes, 1995.
Broskowski A: Current mental health care environments: Why managed care is necessary.Professional Psychology: Research and Practice (Special issue) 1991; 22:1–9.
Frank R, Lave J: Economics of managed care. In: Feldman S (Ed.):Managed Mental Health Services. Springfield, IL: Charles C Thomas, 1992, pp. 83–100.
Hadley T, Schinnar A, Rothbard A: Managed mental health in the public sector. In: Feldman S (Ed.):Managed Mental Health Services. Springfield, IL: Charles C Thomas, 1992, pp. 45–60.
Broskowski A: Financing case management services within the insured sector. In: Friesen B, Poertner J (Eds.):From Case Management to Service Coordination for Children With Emotional, Behavioral, or Mental Disorders. Baltimore: P. H. Brookes, 1995.
Institute of Medicine:Controlling Costs and Changing Patient Care? The Role of Utilization Management. Washington, DC: National Academy Press, 1989.
Anderson R, Kravits J, Anderson D:Equity in Health Services: Empirical Analyses in Social Policy. Cambridge, MA: Ballinger, 1976.
Aday LA, Fleming, GV, Andersen R:Access to Medical Care in the U.S.: Who Has It, Who Doesn't. Chicago: Pluribus, 1984.
Foster EM, Summerfelt WT, Saunders RC: The costs of mental health services under the Fort Bragg demonstration.Journal of Mental Health Administration 1996; 23:92–106.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Jerrell, J.M. Utilization management analysis for children's mental health services. The Journal of Behavioral Health Services & Research 25, 35–42 (1998). https://doi.org/10.1007/BF02287498
Issue Date:
DOI: https://doi.org/10.1007/BF02287498