Changes in Psychotherapy Utilization Among Consumers of Services for Major Depressive Disorder in the Community Mental Health System
The goal of this investigation was to explore changes in psychotherapy utilization for patients with major depressive disorder (MDD) treated in community mental health agencies across two cohorts. We used a Medicaid claims database including approximately 300,000 public sector clients. Although the...
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| Veröffentlicht in: | Administration and policy in mental health and mental health services research 2011-11, Vol.38 (6), p.495-503 |
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| container_title | Administration and policy in mental health and mental health services research |
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| creator | Connolly Gibbons, Mary Beth Rothbard, Aileen Farris, Kimberly D. Wiltsey Stirman, Shannon Thompson, Sarah M. Scott, Kelli Heintz, Laura E. Gallop, Robert Crits-Christoph, Paul |
| description | The goal of this investigation was to explore changes in psychotherapy utilization for patients with major depressive disorder (MDD) treated in community mental health agencies across two cohorts. We used a Medicaid claims database including approximately 300,000 public sector clients. Although the use of psychotherapy alone showed a small decrease, there was a large increase in the use of combined medication and psychotherapy as a treatment for MDD. Race was a significant predictor of both treatment type received and length of treatment. African American consumers were more likely to receive psychotherapy alone than combined treatment and attended significantly fewer psychotherapy sessions. |
| doi_str_mv | 10.1007/s10488-011-0336-1 |
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We used a Medicaid claims database including approximately 300,000 public sector clients. Although the use of psychotherapy alone showed a small decrease, there was a large increase in the use of combined medication and psychotherapy as a treatment for MDD. Race was a significant predictor of both treatment type received and length of treatment. African American consumers were more likely to receive psychotherapy alone than combined treatment and attended significantly fewer psychotherapy sessions.</description><identifier>ISSN: 0894-587X</identifier><identifier>EISSN: 1573-3289</identifier><identifier>DOI: 10.1007/s10488-011-0336-1</identifier><identifier>PMID: 21298475</identifier><identifier>CODEN: APMHEM</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adolescent ; Adult ; African Americans ; Age Factors ; Aged ; Antidepressive Agents - therapeutic use ; Clinical Psychology ; Community mental health services ; Community Mental Health Services - utilization ; Consumers ; Depressive Disorder, Major - ethnology ; Depressive Disorder, Major - therapy ; Depressive personality disorders ; Expenditures ; Female ; Goals ; Health Administration ; Health Informatics ; Health services ; Humans ; Insurance Claim Review ; Male ; Medicaid ; Medicine ; Medicine & Public Health ; Mental depression ; Mental disorders ; Mental health care ; Middle Aged ; Original Paper ; Population ; Preventive medicine ; Psychiatry ; Psychotherapy ; Psychotherapy - statistics & numerical data ; Public Health ; Sex Factors ; Trends ; United States ; Young Adult</subject><ispartof>Administration and policy in mental health and mental health services research, 2011-11, Vol.38 (6), p.495-503</ispartof><rights>Springer Science+Business Media, LLC 2011</rights><rights>Springer Science+Business Media, LLC 2011 2011</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c501t-e87d1cdfa4d2824acd180103752ac2cc1cd754da22c53e8629401af237cac3923</citedby><cites>FETCH-LOGICAL-c501t-e87d1cdfa4d2824acd180103752ac2cc1cd754da22c53e8629401af237cac3923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10488-011-0336-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10488-011-0336-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,778,782,883,12829,27907,27908,30982,30983,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21298475$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Connolly Gibbons, Mary Beth</creatorcontrib><creatorcontrib>Rothbard, Aileen</creatorcontrib><creatorcontrib>Farris, Kimberly D.</creatorcontrib><creatorcontrib>Wiltsey Stirman, Shannon</creatorcontrib><creatorcontrib>Thompson, Sarah M.</creatorcontrib><creatorcontrib>Scott, Kelli</creatorcontrib><creatorcontrib>Heintz, Laura E.</creatorcontrib><creatorcontrib>Gallop, Robert</creatorcontrib><creatorcontrib>Crits-Christoph, Paul</creatorcontrib><title>Changes in Psychotherapy Utilization Among Consumers of Services for Major Depressive Disorder in the Community Mental Health System</title><title>Administration and policy in mental health and mental health services research</title><addtitle>Adm Policy Ment Health</addtitle><addtitle>Adm Policy Ment Health</addtitle><description>The goal of this investigation was to explore changes in psychotherapy utilization for patients with major depressive disorder (MDD) treated in community mental health agencies across two cohorts. We used a Medicaid claims database including approximately 300,000 public sector clients. Although the use of psychotherapy alone showed a small decrease, there was a large increase in the use of combined medication and psychotherapy as a treatment for MDD. Race was a significant predictor of both treatment type received and length of treatment. African American consumers were more likely to receive psychotherapy alone than combined treatment and attended significantly fewer psychotherapy sessions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Clinical Psychology</subject><subject>Community mental health services</subject><subject>Community Mental Health Services - utilization</subject><subject>Consumers</subject><subject>Depressive Disorder, Major - ethnology</subject><subject>Depressive Disorder, Major - therapy</subject><subject>Depressive personality disorders</subject><subject>Expenditures</subject><subject>Female</subject><subject>Goals</subject><subject>Health Administration</subject><subject>Health Informatics</subject><subject>Health services</subject><subject>Humans</subject><subject>Insurance Claim Review</subject><subject>Male</subject><subject>Medicaid</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Population</subject><subject>Preventive medicine</subject><subject>Psychiatry</subject><subject>Psychotherapy</subject><subject>Psychotherapy - 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| ispartof | Administration and policy in mental health and mental health services research, 2011-11, Vol.38 (6), p.495-503 |
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| subjects | Adolescent Adult African Americans Age Factors Aged Antidepressive Agents - therapeutic use Clinical Psychology Community mental health services Community Mental Health Services - utilization Consumers Depressive Disorder, Major - ethnology Depressive Disorder, Major - therapy Depressive personality disorders Expenditures Female Goals Health Administration Health Informatics Health services Humans Insurance Claim Review Male Medicaid Medicine Medicine & Public Health Mental depression Mental disorders Mental health care Middle Aged Original Paper Population Preventive medicine Psychiatry Psychotherapy Psychotherapy - statistics & numerical data Public Health Sex Factors Trends United States Young Adult |
| title | Changes in Psychotherapy Utilization Among Consumers of Services for Major Depressive Disorder in the Community Mental Health System |
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