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Online Program

334025
Examination of the Impact of a Care Management Entity Model on the Use of Mental Health Services for Youth with Serious Mental Illness


Tuesday, November 3, 2015 : 11:30 a.m. - 11:50 a.m.

Bethany Lee, PhD, School of Social Work, University of Maryland, Baltimore, MD
John Cosgrove, MSW, School of Social Work, University of Maryland, Baltimore, MD
Susan dosReis, PhD, Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD
Ming-Hui Tai, MS, MHPA, Pharmaceutical Health Services Research Program, University of Maryland, Baltimore, MD
Daryl Dutrow, MBA, MSW, School of Social Work, University of Maryland, Baltimore, MD
background/purpose: This paper describes the use of a care management entity with high fidelity wraparound for youth with behavioral health needs in one Mid-Atlantic state. The high fidelity wraparound practice model has been effective in improving outcomes for youth with serious mental illness.  The goals of this study were to a) describe the multi-system involvement and complex needs of youth served in the care management entity and b) compare the rates of high intensity mental health services before and after the use of the care management entity.

method: Administrative data from Medicaid claims for mental health as well as child welfare and juvenile justice services were analyzed. The sample included 5000 youth who participated in the care management entity program as well as a comparison group. Service utilization was assessed before enrollment in the high fidelity wraparound practice model. Data were analyzed to assess changes in service utilization rates for the youth who received the high fidelity wraparound services and for the comparison group.

findings: Results suggest that youth served by the care management entity had significant mental health service histories and use of high intensity services. Use of high intensity services, including inpatient hospitalization and residential treatment, decreased significantly over time for youth who participated in the care management entity model.

implications: High fidelity wraparound services for youth with serious mental illness can significantly reduce the need for intensive and costly mental health services.  The long-term impact on cost and outcomes are yet to be determined.

Learning Areas:

Social and behavioral sciences

Learning Objectives:
Describe the multi-system involvement and complex needs of youth served in the care management entity; Compare the rates of high intensity mental health services before and after the use of the care management entity

Keyword(s): Child/Adolescent Mental Health, Mental Health Treatment &Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal investigator of this evaluation project for more than three years. I lead several other state and federally-funded projects related to services research for children with behavioral health needs.
Any relevant financial relationships? No

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.

Back to: 4153.0: Research Perspectives on Behavioral Health Service Design: Coalitions, Community Needs Assessment , Psychopharmacologic Outcomes of Case Management