Case Complexity Adjustment and Mental Health Outcomes - Conceptual Issues
This approach to outcome measurement in Australia has yielded a substantial volume of valuable data on mental health outcomes. AMHOCN has analysed and reported on these data via a range of paper-based and electronic reports. A limitation in this enterprise has been that outcomes have been considered for a given collection age group (i.e., adults, children and adolescents, and older people) within a particular mental health service setting (i.e., inpatient, ambulatory, community residential), but it has not been possible to date to guarantee like-with-like comparisons. The next step is to ‘level the playing field’ in some way, to disentangle the reasons for differences in the level of outcome achieved by different services or groups of services. This paper discusses some of the conceptual and practical considerations required to understand and progress the case complexity adjustment agenda.
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