Resource Intensity for Children and Youth: The Development of an Algorithm to Identify High Service Users in Children's Mental Health.

Children's mental health care plays a vital role in many social, health care, and education systems, but there is evidence that appropriate targeting strategies are needed to allocate limited mental health care resources effectively. The aim of this study was to develop and validate a methodology fo...

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Publicado en:Health Services Insights Vol. 12
Autores principales: Stewart, Shannon L, Poss, Jeff W, Thornley, Elizabeth, Hirdes, John P
Formato: algorithm research tables/charts Journal Article
Publicado: Sage Publications Inc. 2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2019
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Resource Intensity for Children and Youth: The Development of an Algorithm to Identify High Service Users in Children's Mental Health.
      aug:
        au:
          Stewart, Shannon L
          Poss, Jeff W
          Thornley, Elizabeth
          Hirdes, John P
        affil: Western University, Faculty of Education, London, ON, Canada
      sug:
        subj:
          Resource Allocation
          Mental Health In Infancy and Childhood
          Human
          Male
          Female
          Child
          Adolescence
          Decision Support Systems, Clinical
          Ontario
          Psychometrics
          Reliability and Validity
          Descriptive Statistics
          Semi-Structured Interview
          Scales
          Odds Ratio
          Confidence Intervals
          Data Analysis Software
          Affect
          Disruptive Behavior
          Anxiety
          Attention Deficit Hyperactivity Disorder
          Autism Spectrum Disorder
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Children's mental health care plays a vital role in many social, health care, and education systems, but there is evidence that appropriate targeting strategies are needed to allocate limited mental health care resources effectively. The aim of this study was to develop and validate a methodology for identifying children who require access to more intense facility-based or community resources. Ontario data based on the interRAI Child and Youth Mental Health instruments were analysed to identify predictors of service complexity in children's mental health. The Resource Intensity for Children and Youth (RIChY) algorithm was a good predictor of service complexity in the derivation sample. The algorithm was validated with additional data from 61 agencies. The RIChY algorithm provides a psychometrically sound decision-support tool that may be used to inform the choices related to allocation of children's mental health resources and prioritisation of clients needing community- and facility-based resources.
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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