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PubMedDate not supplied

Improving attendance at intake in children's outpatient services of a community mental health centre.

Concern that non-attendance at initial appointments may lead to increased delays for new clients attempting to enter treatment, led to the development of an intervention to improve attendance at intake in children's out-patients services of a community mental health centre. The new procedure encouraged parents who telephoned the centre to come into children's services to complete a behaviour checklist on their child before receiving an initial appointment time. In the sample of 464 consecutive initial appointments scheduled over the study period, there was a reduction in the broken appointment rate from 37.7% during baseline to 26.5% during the intervention phase. Although this was a simple, flexible and inexpensive intervention, it is suggested that the result is replicated with a controlled experimental design, and interventions are tailored to specific types of attendance problems.

Adolescent↗
PubMed1995

Heavy utilization of inpatient and outpatient services in a public mental health service.

OBJECTIVE: The purpose of the study was to develop a descriptive profile of heavy users of services in the South Australian Mental Health Services. METHODS: Case notes for 50 heavy users were reviewed to obtain demographic and diagnostic information and data on service use over a three-year period. To supplement and verify this information, 35 of the patients were given structured interviews. RESULTS: The mean age of the 50 patients was 34.9 years, and there was a slight predominance of females. Most patients had never married and had been unemployed for a long time. All had a low income. The mean number of years of education was ten. The group was seriously disabled by psychiatric illness. The most common diagnosis was schizophrenia, followed by schizoaffective disorder and bipolar disorder. Comorbid axis I disorder and personality disorder or physical illness was common. Drug and alcohol abuse often complicated patient management and patients' ability to live successfully in the community. The average annual cost per patient was $13,598 (Australian), largely from inpatient care. CONCLUSIONS: This study contributes to an emerging global profile of the heavy service user. Such a profile may help service systems identify patients in this subgroup and target management strategies to these often very disadvantaged and challenging patients.

Adolescent↗
PubMed1981

Experiments in a community mental health center: increasing client payments for outpatient services.

Although public health care systems often depend on revenue generated from client payment for services, inadequate agency fee payment systems continue to create substantial administrative problems. The first study examined the effects of implementing a system for producing and maintaining routine client fee payment. The second study was a replication of the first study. The Credit Criterion System was designed to: (a) allow clients to establish intra-agency credit by paying cash for each of the first three visits; and (b) pay for services monthly after credit was established. The system resulted in a baseline collection rate of 20%, compared with the Credit Criterion rate of 96.6%. The Credit Criterion System did not create additional administrative costs and it had no effect on attendance. Thus, the Credit Criterion System appears to be a reasonable set of procedures for allowing clients to meet their financial obligations to an agency.

Adult↗