ERIC Number: ED460482
Record Type: Non-Journal
Publication Date: 1996-Feb
Reference Count: N/A
The Impact of Managed Care on the Utilization of Child and Adolescent Mental Health Services: Recidivists in an Emergency Screening Team Site. Symposium.
Nicholson, Joanne; Simon, Lorna; Dine-Young, Stephen; Mara, Joseph R.
This collection of symposium paper summaries presents analyses of data addressing the role of system changes in decision-making and service utilization in child and adolescent mental health emergencies. The analyses compare data for child and adolescent (C/A) recidivists at mental health emergency screening sites in pre-and post-managed care time periods, defined by the implementation date for Medicaid managed care. The included summaries are: (1) "Impact of Managed Care on the Clinical Profiles of Recidivists" (Lorna Simon and Stephen Dine-Young); (2) "Factors Contributing to a Child or Adolescent Becoming a Recidivist at an Emergency Mental Health Screening Site Pre- and Post-Managed Care" (Stephen Dine-Young and Lorna Simon); and (3) "The Question of Patterns of Dispositions" (Joanne Nicholson and Joseph R. Mara). Among findings were: the number of emergency room recidivists increased after the implementation of managed care; a diagnosis of adjustment disorder (the least severe diagnostic category) negatively predicted a client becoming a recidivist in both the pre- and post-managed care periods; and neither clinical nor payer characteristics were related to a change in level of restrictiveness of dispositions in the pre- or post-managed care periods for recidivists. (DB)
Descriptors: Adolescents, Change Strategies, Children, Clinical Diagnosis, Decision Making, Delivery Systems, Emergency Programs, Emotional Disturbances, Health Maintenance Organizations, Health Services, Recidivism, Severity (of Disability), Use Studies
For full text: http://rtckids.fmhi.usf.edu/Proceed9th/9thproc.ndex.htm.
Publication Type: Collected Works - General; Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Authoring Institution: N/A