Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
Service Utilization Patterns as Determinants of Capitation Rates
Mary E. Smith; Patricia Loftus-Rueckheim
Psychiatric Services 1993; doi:
View Author and Article Information

This research was partly supported by contract G5A285 with the Illinois Department of Mental Health and Developmental Disabilities. The authors thank Paul S. Sherman, Ph.D., John F. Muldoon, Ph.D., Madeleine Gomez, M.D., and Ted Temkin, Ph.D., for their comments and suggestions. They also thank the clients and staff of the Ravenswood Hospital CMHC who participated in the research as well as the capitation service providers network for help in data collection.

Ravenswood Hospital Community Mental Health Center, 2312, West Irving Park Road, Chicago, Illinois 60618

1993 by the American Psychiatric Association

text A A A
PDF of the full text article.

Objective: In a capitation payment system, the ability to project service requirements and cost is critical. The types and levels of services needed by persons with serious mental illness vary. The purpose of this study was to identify different patterns of service utilization and patient characteristics and costs associated with them. Methods: Ser vice use by 55 clients participating in a psychosocial-habilitation out patient program at a hospital-based community mental health center was tracked for one year. Treatment cost for all services was calculated for each patient. Results: Cluster analysis indicated that for persons with serious mental illness who enter community treatment, there appear to be four distinct patterns of service use: low, moderate, moderately high, and high. The groups were differentiated only by the presence of a disability (among the moderately high users) and a history off frequent inpatient treatment (among the high users). The two highest-use groups represented about one-third of the total sample but consumed more than three-fourths of the total resources. Conclusions: The lack of significant group differences on most clinical variables may make it difficult to develop capitation rates for subgroups of persons with serious mental illness. Service use may be determined by factors other than clinical need.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Related Content
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 34.  >
Topic Collections
Psychiatric News
PubMed Articles