Peltzman et al reported the Mental Health and Substance Use Disorder (MHSUD) Index for evaluating the burden of mental health and substance use disorders for a patient. The authors are from the VA Medical Center White River Junction, Dartmouth College, and the National Center for Posttraumatic Stress Disorder at White River Junction in Vermont.
Parameters (recorded in the electronic medical record):
(1) substance use disorder
(2) depressive disorder
(3) psychotic disorder
(4) bipolar disorder
(5) trauma
(6) personality disorder
Parameter
Finding
Points
substance use
no
0
yes
6
depressive disorder
no
0
yes
3
psychotic disorder
no
0
yes
4
bipolar
no
0
yes
5
trauma
no
0
yes
2
personality
no
0
yes
6
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 26
Performance:
• The C-index for death was 0.66.
• The C-index for hospitalization was 0.88.
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