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American Journal of Medical Quality
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Green Spring Criteria for Medical Necessity of Outpatient Treatment and Its Use in a Mental Health Utilization Review Program

Gary Nyman

Green Spring Mental Health Services, Silver Spring, Maryland, Johns Hopkins University

Henry Harbin

Green Spring Mental Health Services, Silver Spring, Maryland, University of Maryland, Baltimore, Maryland

Jonathan Book

Green Spring Mental Health Services, Silver Spring, Maryland, University of Maryland, Baltimore, Maryland

Diane Wiegand

Green Spring Mental Health Services, Silver Spring, Maryland

Suzanne Lizanich-Aro

Green Spring Mental Health Services, Silver Spring, Maryland

Thomas Krajewski

Green Spring Mental Health Services, Silver Spring, Maryland, University of Maryland, Baltimore, Maryland

Michael Yuhas

Green Spring Mental Health Services, Silver Spring, Maryland

Paul Shoffeitt

Green Spring Mental Health Services, Silver Spring, Maryland

The authors have developed a two-tiered method for utilization review of outpatient mental health services. The methodology looks at initial and contin ued treatment evaluation and uses diagnosis, symp toms, plan of treatment, and the Global Assessment Scale (GAS) among other indicators to determine ap propriateness of treatment. Preliminary program ex perience has been positive and is included.

American Journal of Medical Quality, Vol. 7, No. 2, 65-69 (1992)
DOI: 10.1177/0885713x9200700206
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