Title

Risk Adjustment of Florida Mental Health Outcomes Data: Concepts, Methods, and Results

Document Type

Article

Publication Date

8-2001

Keywords

Mental Health, Health Promotion, Mental Health Service, Disease Prevention, Outcome Data

Digital Object Identifier (DOI)

https://doi.org/10.1007/BF02287243

Abstract

This article discusses outcome evaluation systems for mental health programs. It reviews and critically evaluates design and analysis methods for strengthening the validity of such uncontrolled comparisons. The article examines methods for statistically adjusting preexisting groups, now referred to as risk adjustment or case-mix adjustment, and offers guidelines for determining when this procedure is appropriate. Then, analyses on two dependent variables—a global rating of functioning and a consumer satisfaction measure—available from an outcomes evaluation system currently underway in Florida are used to demonstrate the proposed method of risk adjustment. Results for 24 providers of mental health services showed that while risk adjustment only made a small difference in the overall provider rankings, the ranking of some specific providers changed considerably. The article concludes with a discussion of the implications of this research.

Was this content written or created while at USF?

Yes

Citation / Publisher Attribution

The Journal of Behavioral Health Services and Research, v. 28, issue 3, p. 258-272

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