Journal ArticleDOI
Linking resource use to consumer level of need: field test of the level of need-care assessment (LONCA) method.
TLDR
The field test supported the feasibility of performing LONCA tasks and the resulting scheme for clustering consumers appeared to have face validity and was modestly associated with at least 3 independent indicators of resource need.Abstract:
A team of service system planners in King County, Washington, field-tested the feasibility of the LONCA (level of need-care assessment) method as a strategy to match resources to consumer level of need. LONCA links resources to need by first measuring the incidence and intensity of consumer needs in specific functioning domains. It then preliminarily specifies the type and intensity of services required to minimally but appropriately address specific consumer needs, calculates service costs, and identifies clusters of consumers with similar need and cost profiles. The field test supported the feasibility of performing LONCA tasks. The resulting scheme for clustering consumers appeared to have face validity and was modestly associated with at least 3 independent indicators of resource need: program status, residential status, and hospitalizations. Despite its limitations, the article supports further development of LONCA for use as a resource allocation tool for local service systems.read more
Citations
More filters
Journal ArticleDOI
Effects of combining disparate groups in the analysis of ethnic differences: variations among Asian American mental health service consumers in level of community functioning.
TL;DR: The implications of conceptualizing Asian Americans as an ethnic category versus ethnic groups are examined, in an investigation of the community functioning status of clients in publicly funded mental health programs in King County, Washington.
Journal ArticleDOI
The need for research that is designed to support decisions in the delivery of mental health services.
TL;DR: The authors recommend 4 guidelines for designing a research program so that the results can support the decisions of the major stakeholders (clients-families, practitioners, service managers, and policymakers), and research must be targeted and programmatic.
Journal ArticleDOI
Clinical Decision Support Tool: A rational needs-based approach to making clinical decisions
TL;DR: The development and initial evaluation of a system of needs-based consistent but flexible care packages that underpins the CPA process, and is increasingly the basis for care plans.
Journal ArticleDOI
Needs-based planning: evaluation of a level-of-care planning model.
TL;DR: Evidence supports concurrent validity of the planning model, but further work is needed to assess whether recommended levels of care effectively meet consumer needs in the least restrictive setting.
References
More filters
Journal Article
Journal of Mental Health Administration
TL;DR: The present issue of the Journal concerns the achievement of accountability in Community Mental Health programs and an approach to program evaluation and justification is proposed from the social worker's point of view.
Related Papers (5)
Level of care utilization system for psychiatric and addiction services (LOCUS): a preliminary assessment of reliability and validity.
Statewide treatment outcome assessment in Colorado: the Colorado Client Assessment Record (CCAR).
R H Ellis,N Z Wilson,F M Foster +2 more