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Shifts in Case Mix and Locus of Mental Health Care for Washington State Adults with Severe Mental Illness

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Abstract

The author describes outcomes of interventions that were aimed at decreasing high use of state hospitals. Research focused on changes in state hospital case mix and dynamics of use by individuals identified as “high utilizers” before and after the Washington State Mental Health Division (MHD) implemented a series of interventions designed to reduce use. A set of recommendations are offered for policymakers who plan interventions that shift the locus of care for severely and persistently mentally ill adults.

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Semke, J. Shifts in Case Mix and Locus of Mental Health Care for Washington State Adults with Severe Mental Illness. Adm Policy Ment Health 26, 191–205 (1999). https://doi.org/10.1023/A:1021362630116

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