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Exact(19)
Referral, assessment and diagnosis rates appeared to be stable between 2008 and 2010.
This study confirms that participating CMHCs organize their referral assessment differently and that referral assessment in more than half of the CMHCs are not organized into one centralized team, which is recommended by the National Guidelines for Mental Health Services.
Catchments area size, the number of annual referrals, and clinicians involved in referral assessment vary significantly across CMHCs.
b CMHC - 6 reported only individual ratings, and only one staff member was involved in referral assessment work.
The average shares of psychiatrists, psychologists and other professions involved in referral assessment were quite similar (each about 1/3).
Our expectations of a strong association between number of referrals and number of staff members involved in referral assessment, was not confirmed (Pearson r = 0.31).
Similar(41)
We observe that only 7 of the 16 CMHCs had organized their referral assessments in this way.
These are designs considered to be most consistent with the actual organization of referral assessments (CMHC-specific).
The National Guidelines for Mental Health Services [ 22] recommend that referral assessments at each CMHC should be conducted by a joint admission team.
The majority of the participating clinicians had more than 2 years experience with referral assessments, and half of the clinicians were unit managers.
Examples are: (i) higher quality referrals containing standardized information that raters need, (ii), a reorganization of how referral assessments are conducted, (iii), training as an integrated part of educational programs, or, (iv), various web-based approaches such as tutorials and discussion groups.
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