221639 Recovery Needs Level: Using data to determine the best level of service for consumers of mental health services

Tuesday, November 9, 2010

Pablo Olmos-Gallo, PhD , Evaluation and Research, Mental Health Center of Denver, Denver, CO
Cathie McLean, MA , Quality Improvement, Mental Health Center of Denver, Denver, CO
Christopher McKinney, MA , Evaluation and Research, Mental Health Center of Denver, Denver, CO
Clinical practices sometimes dictate that mental health consumers should keep receiving high intensity services even when clinical judgment and the consumer's experience may recommend otherwise. In this presentation, we describe our experience with Assertive Community Treatment (ACT) services at the Mental Health Center of Denver. Our approach for service utilization starts out from the basic premise that people with mental illness do recover, and as such the need for high intensive case management services may change over time. To implement this idea in practice, MHCD created a committee that: 1) Developed the idea, 2) Created an instrument to assess the level of service needed based on a clinical criteria, 3) Implemented, and compared the assessments to clinical and qualitative information, 4) Trained stakeholders (both, mental health consumers and clinical people) on the use and its implications for recovery and 5) Finally, it implemented an appeal process to veto the system when the consumer or their clinicians feel that such change may be inappropriate. The implementation of this approach has been closely monitored for years, and we will present information about its effectiveness and the cost savings associated with its use. We will also describe new developments intended to advance the recovery process by assessing services for consumers at even higher levels of recovery. Finally, we will describe how the results of this approach have allowed MHCD to increase our service capacity in a way that respects the needs of the consumer and provides a more efficient use of our resources.

Learning Areas:
Chronic disease management and prevention
Public health or related research
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
By the end of the session, attendees will be able to: 1) discuss how mental health centers can provide services tailored to their consumer's needs, 2) identify how services tailored to the consumerís needs will make a mental health center more effective and efficient

Keywords: Mental Health Care, Utilization

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved in the development and implementation of this idea
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Mental Health Center of Denver Director of Evaluation and Research Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.