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Fig. 1 Sample Behavioral Health Services Cascade depicting a site's rates of screening, assessing, and linking youth to substance use treatment services, as well as rates of treatment initiation, engagement, and completion for youth under community supervision.
Focusing on process has several advantages, yet there has been little attention on improvements in processes to accelerate initiation, engagement, and retention in behavioral health treatment after arrest or at any stage in the justice system (McCarty and Chandler 2009; Taxman et al. 2009).
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Initiation and Engagement are intended to measure early involvement in addiction treatment.
They did not inform us until 48 hours in advance of that initiation of engagement.
The SOCRATES has good construct validity; predicting treatment initiation, treatment engagement and treatment outcomes [ 16].
Second, we evaluated the 2006 specification of the HEDIS Initiation and Engagement quality measures.
Interventions that focus on youth development are imminently needed for reducing initiation and engagement in sex work and HIV risk among transgender female youth.
The treatment identification strategy used in the Initiation and Engagement measures, based on commonly available procedure and diagnostic codes, is feasible and inexpensive but is of unknown validity.
Therefore, some patients may be counted as meeting the 2006 HEDIS Initiation and Engagement criteria without having received the specified amount (or any) addiction treatment.
If encounters are erroneously being counted as addiction treatment, then some patients may meet the Initiation and Engagement criteria when in fact they have not received any, or at least not the requisite amount of, addiction treatment.
In this study, we examined if the diagnosis/procedure code combinations used in the 2006 HEDIS Initiation and Engagement quality measures to identify instances of addiction treatment have high concordance with documentation of addiction treatment in clinical progress notes.
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