Brigham Young University, Provo, UT 84602, USA.
J Clin Psychol. 2012 Jan;68(1):24-40. doi: 10.1002/jclp.20831. Epub 2011 Oct 11.
To examine differences across a community mental health system and a private managed care system in the accuracy of a warning system designed to identify youth at risk for deterioration in mental health services.
Longitudinal outcome data from the Youth Outcome Questionnaire (Y-OQ) were examined using multilevel modeling for 2,310 youth ages 4-17 who received outpatient treatment.
The warning system correctly identified 69% of cases that ultimately ended in deterioration in the community mental health setting, compared to 61% in the managed care setting. The overall hit rate (overall accuracy in classifying cases as deteriorators/non-deteriorators) was the same in the two settings (75%).
Results are consistent with previous research demonstrating that patient-focused warning systems can be reasonably accurate in identifying youth cases at risk for treatment failure.
考察社区心理健康系统和私人管理式医疗系统在一个旨在识别精神卫生服务中恶化风险的青年预警系统的准确性方面的差异。
使用多水平模型对在社区心理健康环境中，最终恶化的 2310 名年龄在 4-17 岁的接受门诊治疗的青年进行青年结局问卷（Y-OQ）的纵向结局数据进行了检查。
该预警系统在社区心理健康环境中正确识别出 69%的最终恶化病例，而在管理式医疗环境中则为 61%。两种环境中的总命中率（将病例分类为恶化/非恶化的总体准确性）相同（75%）。
结果与先前的研究一致，表明以患者为中心的预警系统可以合理准确地识别出治疗失败风险较高的青年病例。
