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Over-Utilization | IPH Bombs Ep. 4

The TCOM Channel
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3.1K views 1 year ago
Historically, mental health services research has focused on high utilizers as the strategy to inform utilization management. While logical on its face, this approach makes an implicit assumption that at least some of these high utilizers are over-utilizing care. By using a comprehensive and robust assessment of an array of clinical and functional indicators, we can demonstrate that, at least for intensive community services for youth, that assumption may well be false. If you use a fully clinically informed assessment model, no youth in our large sample, used more services that would be expected based on their level of need. Rather the real problem is under-utilization. Youth using fewer services than indicated by their need. We think these findings, when replicated and extended have important implications for how we must think about care management strategies moving forward. For more information on TCOM, please visit our blog: www.tcomconversations.org Register for the 2023 TCOM Conference, October 4th - 6th in Lexington, KY here: https://tcomconversations.org/tcom2023/ Thank you for all the work you do on behalf of others. ...more
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Over-Utilization | IPH Bombs Ep. 4
27Likes
3,128Views
2023Aug 29
Historically, mental health services research has focused on high utilizers as the strategy to inform utilization management. While logical on its face, this approach makes an implicit assumption that at least some of these high utilizers are over-utilizing care. By using a comprehensive and robust assessment of an array of clinical and functional indicators, we can demonstrate that, at least for intensive community services for youth, that assumption may well be false. If you use a fully clinically informed assessment model, no youth in our large sample, used more services that would be expected based on their level of need. Rather the real problem is under-utilization. Youth using fewer services than indicated by their need. We think these findings, when replicated and extended have important implications for how we must think about care management strategies moving forward. For more information on TCOM, please visit our blog: www.tcomconversations.org Register for the 2023 TCOM Conference, October 4th - 6th in Lexington, KY here: https://tcomconversations.org/tcom2023/ Thank you for all the work you do on behalf of others.

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The TCOM Channel

2.91K subscribers