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Development and Validation of a Level-of-Care Instrument for Predicting Residential Placement
H. Benjamin Kramer; Oliver T. Massey; Lois J. Pokorny
Psychiatric Services 1990; doi:
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Missouri Department of Mental Health

Department of Epidemiology and Policy Analysis at the Florida Mental Health Institute of the University of South Florida, 13301 North Bruce B. Downs Boulevard, Tampa, Florida 33612

Oklahoma Department of Mental Health

1990 by the American Psychiatric Association

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Abstract

A level-of-care instrument developed in Missouri uses discniminant analysis anda criterion measure based on the state's continuum of community residential facilities to assess psychiatric patients' abilities and-deficits and to match individual patients with a suitable community setting. The instrument assigned 57 percent of the patients in the sample used in development of the instrument and 43 percent in a validation sample to the same type of residential facility recommended by case managens. The instrument more accurately predicted placement than two instruments that were used-earlier in the state and were not based on its specific array of facilities.

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