Mental health services for children in large, employer-based health plans, 1999

This study examines 1999 data from Medstat's MarketScan database of privately insured employees of US firms and their dependents. Of enrolled children and adolescents ages 2-18, 6.6% had claims for mental health services. Average outpatient expenditures per user were $651. Of children/adolescen...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The journal of behavioral health services & research 2007-01, Vol.34 (1), p.56-72
Hauptverfasser: Larson, Mary Jo, Miller, Kay, Fleming, Kathleen J, Teich, Judith L
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 72
container_issue 1
container_start_page 56
container_title The journal of behavioral health services & research
container_volume 34
creator Larson, Mary Jo
Miller, Kay
Fleming, Kathleen J
Teich, Judith L
description This study examines 1999 data from Medstat's MarketScan database of privately insured employees of US firms and their dependents. Of enrolled children and adolescents ages 2-18, 6.6% had claims for mental health services. Average outpatient expenditures per user were $651. Of children/adolescents with claims for mental health services (MH claimants), 3.4% had inpatient MH services, with an average length of stay of 8.9 days and average MH-related inpatient expenditure per user of $7,048. One half of MH claimants who had pharmacy benefit data had claims for psychotropic medications, with average expenditures per user of $328. Whereas children/adolescent mental health users comprised 8.3% of all service users, expenditures for their care were 20.5% of all service expenditures for children/adolescents in private health plans. Results also highlight the importance of including data on psychotropic medication in analysis of children's MH services utilization, as well as the need to consider the use of psychotropic medications among children/adolescents who do not utilize other MH services.
doi_str_mv 10.1007/s11414-006-9028-0
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68423076</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68423076</sourcerecordid><originalsourceid>FETCH-LOGICAL-c357t-604f66466dd06ed89bbd166b94021dce83d74c6e7f9ae4c8626f7298888f528e3</originalsourceid><addsrcrecordid>eNqFkctKAzEUhoMotlYfwI0MLlw1enKZXJZSvEGlG12HmckZO2U6U5NW6Nub0orgxmxOFt__cw4fIZcMbhmAvouMSSYpgKIWuKFwRIYszxUVAsxx-oOVVEjGB-QsxgUASCn0KRkwpcFwC0Mye8VuXbTZHIt2Pc8ihq-mwpjVfciqedP6gF3WdFlbhA8cZ7hctf0WAy2LiP4ntWqLLo4zZq09Jyd10Ua8OMwReX98eJs80-ns6WVyP6WVyPWaKpC1UlIp70GhN7YsPVOqtBI48xUa4bWsFOraFigro7iqNbcmvTrnBsWI3Ox7V6H_3GBcu2UTK2zTJthvolNGcgFa_QvmqVYwnSfw-g-46DehS0c4DjnnXGqdILaHqtDHGLB2q9Asi7B1DNzOids7ccmJ2zlxkDJXh-JNuUT_mzhIEN_Ql4Sm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>205222477</pqid></control><display><type>article</type><title>Mental health services for children in large, employer-based health plans, 1999</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>MEDLINE</source><source>SpringerLink Journals</source><source>Business Source Complete</source><creator>Larson, Mary Jo ; Miller, Kay ; Fleming, Kathleen J ; Teich, Judith L</creator><creatorcontrib>Larson, Mary Jo ; Miller, Kay ; Fleming, Kathleen J ; Teich, Judith L</creatorcontrib><description>This study examines 1999 data from Medstat's MarketScan database of privately insured employees of US firms and their dependents. Of enrolled children and adolescents ages 2-18, 6.6% had claims for mental health services. Average outpatient expenditures per user were $651. Of children/adolescents with claims for mental health services (MH claimants), 3.4% had inpatient MH services, with an average length of stay of 8.9 days and average MH-related inpatient expenditure per user of $7,048. One half of MH claimants who had pharmacy benefit data had claims for psychotropic medications, with average expenditures per user of $328. Whereas children/adolescent mental health users comprised 8.3% of all service users, expenditures for their care were 20.5% of all service expenditures for children/adolescents in private health plans. Results also highlight the importance of including data on psychotropic medication in analysis of children's MH services utilization, as well as the need to consider the use of psychotropic medications among children/adolescents who do not utilize other MH services.</description><identifier>ISSN: 1094-3412</identifier><identifier>EISSN: 1556-3308</identifier><identifier>DOI: 10.1007/s11414-006-9028-0</identifier><identifier>PMID: 16708290</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adolescent ; Adolescent Health Services - economics ; Adolescent Health Services - utilization ; Adolescents ; Child ; Child Health Services - economics ; Child Health Services - utilization ; Child, Preschool ; Children ; Children &amp; youth ; Expenditures ; Female ; Health Benefit Plans, Employee - utilization ; Health care expenditures ; Health Care Surveys ; Health costs ; Health Expenditures - statistics &amp; numerical data ; Health insurance ; Health services ; Health services utilization ; Humans ; Male ; Mental health ; Mental health care ; Mental health services ; Mental Health Services - economics ; Mental Health Services - utilization ; Psychotropic drugs ; Psychotropic Drugs - economics ; Psychotropic Drugs - therapeutic use ; Studies ; Teenagers ; United States</subject><ispartof>The journal of behavioral health services &amp; research, 2007-01, Vol.34 (1), p.56-72</ispartof><rights>Copyright Lippincott Williams &amp; Wilkins Jan 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-604f66466dd06ed89bbd166b94021dce83d74c6e7f9ae4c8626f7298888f528e3</citedby><cites>FETCH-LOGICAL-c357t-604f66466dd06ed89bbd166b94021dce83d74c6e7f9ae4c8626f7298888f528e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902,30976,30977</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16708290$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Larson, Mary Jo</creatorcontrib><creatorcontrib>Miller, Kay</creatorcontrib><creatorcontrib>Fleming, Kathleen J</creatorcontrib><creatorcontrib>Teich, Judith L</creatorcontrib><title>Mental health services for children in large, employer-based health plans, 1999</title><title>The journal of behavioral health services &amp; research</title><addtitle>J Behav Health Serv Res</addtitle><description>This study examines 1999 data from Medstat's MarketScan database of privately insured employees of US firms and their dependents. Of enrolled children and adolescents ages 2-18, 6.6% had claims for mental health services. Average outpatient expenditures per user were $651. Of children/adolescents with claims for mental health services (MH claimants), 3.4% had inpatient MH services, with an average length of stay of 8.9 days and average MH-related inpatient expenditure per user of $7,048. One half of MH claimants who had pharmacy benefit data had claims for psychotropic medications, with average expenditures per user of $328. Whereas children/adolescent mental health users comprised 8.3% of all service users, expenditures for their care were 20.5% of all service expenditures for children/adolescents in private health plans. Results also highlight the importance of including data on psychotropic medication in analysis of children's MH services utilization, as well as the need to consider the use of psychotropic medications among children/adolescents who do not utilize other MH services.</description><subject>Adolescent</subject><subject>Adolescent Health Services - economics</subject><subject>Adolescent Health Services - utilization</subject><subject>Adolescents</subject><subject>Child</subject><subject>Child Health Services - economics</subject><subject>Child Health Services - utilization</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children &amp; youth</subject><subject>Expenditures</subject><subject>Female</subject><subject>Health Benefit Plans, Employee - utilization</subject><subject>Health care expenditures</subject><subject>Health Care Surveys</subject><subject>Health costs</subject><subject>Health Expenditures - statistics &amp; numerical data</subject><subject>Health insurance</subject><subject>Health services</subject><subject>Health services utilization</subject><subject>Humans</subject><subject>Male</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Mental Health Services - economics</subject><subject>Mental Health Services - utilization</subject><subject>Psychotropic drugs</subject><subject>Psychotropic Drugs - economics</subject><subject>Psychotropic Drugs - therapeutic use</subject><subject>Studies</subject><subject>Teenagers</subject><subject>United States</subject><issn>1094-3412</issn><issn>1556-3308</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkctKAzEUhoMotlYfwI0MLlw1enKZXJZSvEGlG12HmckZO2U6U5NW6Nub0orgxmxOFt__cw4fIZcMbhmAvouMSSYpgKIWuKFwRIYszxUVAsxx-oOVVEjGB-QsxgUASCn0KRkwpcFwC0Mye8VuXbTZHIt2Pc8ihq-mwpjVfciqedP6gF3WdFlbhA8cZ7hctf0WAy2LiP4ntWqLLo4zZq09Jyd10Ua8OMwReX98eJs80-ns6WVyP6WVyPWaKpC1UlIp70GhN7YsPVOqtBI48xUa4bWsFOraFigro7iqNbcmvTrnBsWI3Ox7V6H_3GBcu2UTK2zTJthvolNGcgFa_QvmqVYwnSfw-g-46DehS0c4DjnnXGqdILaHqtDHGLB2q9Asi7B1DNzOids7ccmJ2zlxkDJXh-JNuUT_mzhIEN_Ql4Sm</recordid><startdate>20070101</startdate><enddate>20070101</enddate><creator>Larson, Mary Jo</creator><creator>Miller, Kay</creator><creator>Fleming, Kathleen J</creator><creator>Teich, Judith L</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K7.</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20070101</creationdate><title>Mental health services for children in large, employer-based health plans, 1999</title><author>Larson, Mary Jo ; Miller, Kay ; Fleming, Kathleen J ; Teich, Judith L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-604f66466dd06ed89bbd166b94021dce83d74c6e7f9ae4c8626f7298888f528e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adolescent Health Services - economics</topic><topic>Adolescent Health Services - utilization</topic><topic>Adolescents</topic><topic>Child</topic><topic>Child Health Services - economics</topic><topic>Child Health Services - utilization</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children &amp; youth</topic><topic>Expenditures</topic><topic>Female</topic><topic>Health Benefit Plans, Employee - utilization</topic><topic>Health care expenditures</topic><topic>Health Care Surveys</topic><topic>Health costs</topic><topic>Health Expenditures - statistics &amp; numerical data</topic><topic>Health insurance</topic><topic>Health services</topic><topic>Health services utilization</topic><topic>Humans</topic><topic>Male</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental health services</topic><topic>Mental Health Services - economics</topic><topic>Mental Health Services - utilization</topic><topic>Psychotropic drugs</topic><topic>Psychotropic Drugs - economics</topic><topic>Psychotropic Drugs - therapeutic use</topic><topic>Studies</topic><topic>Teenagers</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Larson, Mary Jo</creatorcontrib><creatorcontrib>Miller, Kay</creatorcontrib><creatorcontrib>Fleming, Kathleen J</creatorcontrib><creatorcontrib>Teich, Judith L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of behavioral health services &amp; research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Larson, Mary Jo</au><au>Miller, Kay</au><au>Fleming, Kathleen J</au><au>Teich, Judith L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mental health services for children in large, employer-based health plans, 1999</atitle><jtitle>The journal of behavioral health services &amp; research</jtitle><addtitle>J Behav Health Serv Res</addtitle><date>2007-01-01</date><risdate>2007</risdate><volume>34</volume><issue>1</issue><spage>56</spage><epage>72</epage><pages>56-72</pages><issn>1094-3412</issn><eissn>1556-3308</eissn><abstract>This study examines 1999 data from Medstat's MarketScan database of privately insured employees of US firms and their dependents. Of enrolled children and adolescents ages 2-18, 6.6% had claims for mental health services. Average outpatient expenditures per user were $651. Of children/adolescents with claims for mental health services (MH claimants), 3.4% had inpatient MH services, with an average length of stay of 8.9 days and average MH-related inpatient expenditure per user of $7,048. One half of MH claimants who had pharmacy benefit data had claims for psychotropic medications, with average expenditures per user of $328. Whereas children/adolescent mental health users comprised 8.3% of all service users, expenditures for their care were 20.5% of all service expenditures for children/adolescents in private health plans. Results also highlight the importance of including data on psychotropic medication in analysis of children's MH services utilization, as well as the need to consider the use of psychotropic medications among children/adolescents who do not utilize other MH services.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>16708290</pmid><doi>10.1007/s11414-006-9028-0</doi><tpages>17</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1094-3412
ispartof The journal of behavioral health services & research, 2007-01, Vol.34 (1), p.56-72
issn 1094-3412
1556-3308
language eng
recordid cdi_proquest_miscellaneous_68423076
source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; SpringerLink Journals; Business Source Complete
subjects Adolescent
Adolescent Health Services - economics
Adolescent Health Services - utilization
Adolescents
Child
Child Health Services - economics
Child Health Services - utilization
Child, Preschool
Children
Children & youth
Expenditures
Female
Health Benefit Plans, Employee - utilization
Health care expenditures
Health Care Surveys
Health costs
Health Expenditures - statistics & numerical data
Health insurance
Health services
Health services utilization
Humans
Male
Mental health
Mental health care
Mental health services
Mental Health Services - economics
Mental Health Services - utilization
Psychotropic drugs
Psychotropic Drugs - economics
Psychotropic Drugs - therapeutic use
Studies
Teenagers
United States
title Mental health services for children in large, employer-based health plans, 1999
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-19T09%3A02%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Mental%20health%20services%20for%20children%20in%20large,%20employer-based%20health%20plans,%201999&rft.jtitle=The%20journal%20of%20behavioral%20health%20services%20&%20research&rft.au=Larson,%20Mary%20Jo&rft.date=2007-01-01&rft.volume=34&rft.issue=1&rft.spage=56&rft.epage=72&rft.pages=56-72&rft.issn=1094-3412&rft.eissn=1556-3308&rft_id=info:doi/10.1007/s11414-006-9028-0&rft_dat=%3Cproquest_cross%3E68423076%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=205222477&rft_id=info:pmid/16708290&rfr_iscdi=true