Defining and Predicting High Cost Utilization in Children's Outpatient Mental Health Services

Adm Policy Ment Health. 2020 Sep;47(5):655-664. doi: 10.1007/s10488-019-00988-1.

Abstract

Little is known about high-cost service users in the context of youth outpatient mental health, despite the fact that they account for a large proportion of overall mental healthcare expenditures. A nuanced understanding of these users is critical to develop and implement tailored services, as well as to inform relevant policies. This study aims to characterize high-cost service users by examining demographic factors, diagnoses, and service type use. Administrative service use data were extracted from a large County Department of Behavioral Health Services database. Latent profile analyses suggest a four-profile solution primarily distinguished by youth age and diagnostic complexity. Study findings have implications for defining high-cost service users and key targets for efforts aiming to improve outcomes for these youth.

Keywords: High-cost users; Pattern-oriented approach; Public mental health services; Youth.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Ambulatory Care / economics*
  • Ambulatory Care / statistics & numerical data*
  • Child
  • Community Mental Health Services / economics*
  • Community Mental Health Services / statistics & numerical data*
  • Female
  • Health Expenditures / statistics & numerical data*
  • Health Services Needs and Demand / statistics & numerical data
  • Humans
  • Insurance Claim Review
  • Male
  • Mental Health / economics
  • Mental Health / statistics & numerical data
  • Patient Acceptance of Health Care / statistics & numerical data
  • Socioeconomic Factors