Rethinking patient placement: The human service matrix model for matching services to needs

McGee, Michael; Mee-Lee, David

doi:10.1016/s0740-5472(96)00122-5

Cited by 16 publications

(7 citation statements)

References 42 publications

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“…The American Society of Addiction Medicine (ASAM) Patient Placement Criteria (PPC), derived from broad-based, expert clinical consensus as well as available research evidence, were developed to respond to the need for a uniform and clinically defensible method of assessing and placing patients in the appropriate level of care (LOC), defined in terms of the degree of structure and intensity of treatment. The ASAM Criteria have been or are being adopted with some variations by numerous states for publicly-funded AOD services (e.g., Connecticut, Iowa, Illinois, Massachusetts, Montana, Pennsylvania, Washington, Minnesota, Oregon) (Gartner and Mee-Lee, 1995;Heatherton, 2000;McGee and Mee-Lee, 1997). In addition, the Department of Defense uses the ASAM Criteria worldwide, and Value Options, with coverage in excess of 20 million people, has also adopted them.…”

Section: Responding To Managed Care: Predictive Validity Of the Asam mentioning

confidence: 99%

Effects of Managed Care on Alcohol and Other Drug (AOD) Treatment

Magura

Horgan

Mertens

et al. 2002

Alcoholism Clin & Exp Res

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The article represents the proceedings of a symposium at the 2001 RSA Meeting in Montreal, Canada. The organizer/chair was Stephen Magura. The presentations examined: (1) How managed care organization policies may affect enrollees' use of alcohol and other drug (AOD) treatment, by Constance Horgan and associates; (2) The determinants of patients' access to and utilization of AOD treatment in a large health maintenance organization, by Jennifer R. Mertens and Constance Weisner; (3) The impact on treatment access and costs of a statewide carve-out for AOD treatment for Medicaid, by Donald Shepard and associates; and (4) The predictive validity of a new patient assessment technology developed, in part, to better justify AOD treatment in response to the demands of managed care, by Stephen Magura and associates.

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Section: Responding To Managed Care: Predictive Validity Of the Asam mentioning

confidence: 99%

Effects of Managed Care on Alcohol and Other Drug (AOD) Treatment

Magura

Horgan

Mertens

et al. 2002

Alcoholism Clin & Exp Res

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“…The cost-effectiveness of treatment for alcohol and drug abuse disorders is currently an important challenge in the field of addictions. Adequate treatment matching based on empirically established patient placement criteria becomes relevant to optimally provide cost-and outcome-effective treatment (McGee & MeeLee, 1997).…”

Section: Introductionmentioning

confidence: 99%

“…However, it is necessary to determine objective criteria beyond the clinical impression of therapists that will enable decision making based on empirical evidence when assigning patients to the most appropriate treatment modality. Although there have been some attempts to establish objective patient placement criteria (American Society of Addiction Medicine, 1996;Hoffman, Halikas, Mee-Lee, & Weedman, 1991;McGee & MeeLee, 1997;McKay, Cacciola, McLellan, Alterman, & Wirtz, 1997;Stallvik, Gastfriend, & Nordahl, 2015), there is still not a scientific consensus on which criteria should be taken into account to place patients in the best level of care. This is an important issue because one of the main challenges in the treatment of addictions focuses on matching treatment to the specific needs of each patient (Camilleri, Cacciola, & Jenson, 2012;Gregoire, 2000;McGee & MeeLee, 1997;McKay et al, 1997;Rohrig, Buchholz, Wahl, & Berner, 2015).…”

Section: Introductionmentioning

confidence: 99%

Searching objective criteria for patient assignment in addiction treatment

López-Goñi

Fernández‐Montalvo

Arteaga

et al. 2017

Journal of Substance Abuse Treatment

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The main aim of this study was to objectify the treatment assignment criteria used in a clinical centre for addiction treatment in Spain. A sample of 162 patients (87 inpatients and 75 outpatients) who sought treatment between 2010 and 2012 was assessed. Clinical characteristics (addiction severity, psychopathological symptoms, impulsiveness and maladjustment) of the two treatment groups (inpatient and outpatient) into which patients were assigned according to the clinical criteria of therapists were analysed to identify which variables were more relevant for patient placement. Moreover, the therapeutic progression of patients who met and did not meet the assignment criteria received was studied. According to the results, a score above 4 in the family/social support area of the European Addiction Severity Index (EuropASI), or, in cases of a score between 2 and 4 in the family/social area of EuropASI, a score above 2 in the partner subscale of the Maladjustment Scale correctly classified 73.5% of cases (96.6% of inpatients and 46.7% of outpatients). Comparisons of therapeutic results depending on matching or mismatching these assignment criteria showed a larger effect size in mismatching patient assignment criteria for outpatient treatment. The results obtained in this study provide an objective criterion for addicted patient placement. Moreover, from a cost-effective perspective, they question the necessity of inpatient treatment in most cases, demonstrating that outpatient treatment is a sufficient level of care. This study addresses the approach to assigning patients to the treatment modality that best fits them, implementing the least expensive level of care needed to achieve treatment success.

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“…Service match reflects the ability of the system to deliver appropriate care to existing clients (doing things better). Service match was understood in the context of a "level of care" planning model that links a predefined intensity of services to clients' psychosocial and rehabilitation needs (Durbin, Cochrane, Goering, & Macfarlane, 2001;McGee & Mee-Lee, 1997;Uehara, Srebnik, & Smukler, 2003).…”

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confidence: 99%

Funding Growth and Service Match: Doing More of the Same, or Doing Things Better?

StuartHeather

KrupaTerry²,

KollerMichelle³

2010

Canadian Journal of Community Mental Health

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We evaluated service access and match in Southeastern Ontario following community mental health funding increases using repeated samples drawn before and after the enhancements. Access to care increased by an estimated 12% (350 clients) between 2001 and 2006, but only about a third of clients were appropriately matched to their needed level of care. Service match increased slightly after the funding increases, but changes were non-statistically significant. Almost half of the clients remained underserviced and 20% were overserviced, suggesting that a more targeted and systematic approach to care planning is necessary to shift systemwide resources to client groups who are in the greatest need.

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Rethinking patient placement: The human service matrix model for matching services to needs

Cited by 16 publications

References 42 publications

Effects of Managed Care on Alcohol and Other Drug (AOD) Treatment

Effects of Managed Care on Alcohol and Other Drug (AOD) Treatment

Searching objective criteria for patient assignment in addiction treatment

Funding Growth and Service Match: Doing More of the Same, or Doing Things Better?

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