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Reid G, Stewart SL, Zaric GS, Carter JR, Neufeld RWJ, Tobon JI, Barwick M, Vingilis ER. Defining Episodes of Care in Children's Mental Health Using Administrative Data. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2016; 42:737-47. [PMID: 25403258 DOI: 10.1007/s10488-014-0609-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Criteria to define an episode of care in children's mental health services are needed. Various criteria were applied to 5 years of visit data from children 4-11 years (N = 5,206) at their first visit to 1 of 3 children's mental health agencies. A minimum of 3 visits with 180 days between episodes optimized agreement with other dates (e.g., telephone intake assessment) marking the start and end of an episode, and clinician-rated number of episodes. Grouping visits into episodes provides a clearer representation of how services are distributed over extended periods of time, facilitating research and enhancing accuracy in service planning.
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Affiliation(s)
- Graham Reid
- Department of Psychology, University of Western Ontario, London, ON, Canada. .,Department of Family Medicine, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada. .,Department of Paediatrics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada. .,Children's Health Research Institute, London, ON, Canada. .,Lawson Health Research Institute, London, ON, Canada.
| | - Shannon L Stewart
- Faculty of Education, University of Western Ontario, London, ON, Canada.,Division of Child and Adolescent Psychiatry, Department of Psychiatry, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada
| | - Gregory S Zaric
- Ivey Business School, University of Western Ontario, London, ON, Canada
| | | | - Richard W J Neufeld
- Department of Psychology, University of Western Ontario, London, ON, Canada.,Department of Psychiatry, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.,Neuroscience Program, University of Western Ontario, London, ON, Canada
| | - Juliana I Tobon
- Department of Psychology, University of Western Ontario, London, ON, Canada.,St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada
| | - Melanie Barwick
- Community Health Systems Research Group, Psychiatry, The Hospital for Sick Children, Toronto, ON, Canada.,Department of Psychiatry and Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Evelyn R Vingilis
- Department of Family Medicine, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.,Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada
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Kuwornu JP, Lix LM, Quail JM, Wang E, Osman M, Teare GF. A comparison of statistical models for analyzing episodes-of-care costs for chronic obstructive pulmonary disease exacerbations. HEALTH SERVICES AND OUTCOMES RESEARCH METHODOLOGY 2013. [DOI: 10.1007/s10742-013-0112-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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