Skip Ribbon Commands
Skip to main content
Navigate Up
Sign In

Innovations : assertive-community-treatment

Clinical Innovations

Title: Assertive Community Treatment for High Cost Patients

 

Organization: People Encouraging People  

Innovation Type: Comprehensive Case Management  

What They’re Doing: Assertive community treatment program for high-cost patients with mental illness and/or behavioral health issues.  

Clinical Innovation: Baltimore Mental Health Systems, Inc. in coordination with Value Options, the Administrative Services Organization for Maryland Public Mental Health System, identified the highest cost Medicaid users in Baltimore City of health care services and People Encouraging People enrolled them into their Assertive Community Treatmentprogram. Assertive Community Treatment is a health services delivery model that provides comprehensive, community-based mental and behavioral health services and support. The approach uses multi-disciplinary teams of providers (psychiatrists, case managers, social workers, peer counselors, etc.) who provide care around the clock in the patient’s home or neighborhood location. Services may include case management, ongoing assessments, psychiatric services, substance abuse services, health education, employment and housing assistance.  

Evaluation Type: Quasi-Experimental.

Evaluation Plan: University of Maryland Evidenced Based Practice Center is conducting the evaluation. The evaluator will review claims data for the 19 individuals enrolled in the program to determine care utilization and cost before and after enrollment in the program to assess any cost reduction. Preliminary ED and hospital utilization data.of Maryland Evidenced Based Practice Center is conducting the evaluation. The evaluator will review claims data for the 19 individuals enrolled in the program to determine care utilization and cost before and after enrollment in the program to assess any cost reduction. Preliminary ED and hospital utilization data.

Patient Health and Cost Outcomes: 17 Consumers were targeted for cost reduction and increased service provision reviewing 9 months prior to intervention and 9 months after intervention. Of the 17 consumers, 82% were dually diagnosed and 59% had a diagnosis of a personality disorder. From 9 months prior to intervention to 9 months after intervention: Admissions went from 11.5 per participant to 5.4 per participant; 50 days per participant to 28.9 days per participant; and ER visits went from 16.1 per participant to 12.2 per participant. Inpatient costs per participant went from $52,105 to $31,612. Emergency Room costs per participant went from $11,501 to $8.696. Diversion of Inpatient admissions doubled from 28.8% prior to intervention to 55.6% post intervention. All consumers were chronically homeless and were housed in the initial 3 months of intervention. There was an overall savings of $224,250 which INCLUDES community services and the cost of the intervention and quality of life and satisfaction rose overall.will be available October 2012.  

Publications: None

Target Population: Adult (aged 18 and over) consumers with a severe and persistent mental illness who have been identified by Value Options, the Administrative Services Organization for Maryland Public Mental Health System as the highest cost utilizers of health care services. (aged 18 and over) consumers with a severe and persistent mental illness who have been identified by Value Options, the Administrative Services Organization for Maryland Public Mental Health System as the highest cost utilizers of health care services.

Date of Implementation: November, 1, 2010

Contact: Dimitrios Cavathas, LCSW-C, Division Director of Community Services, dimitriosc@peponline.org

Multimedia: Pending

Where to learn more: http://www.peponline.org/

Peer Support Engagement Project

Analysis of Claims Paid through August 2012 BMHS/PEP Peer Support Engagement Project Maryland Public Mental Health System 

 

Health Care Innovations Graphic