Predictors of Adequate Depression Treatment Among Medicaid-enrolled Adults

Published In: HSR, Health Services Research, v. 45, no. 1, Feb. 2010, p. 302-315

Posted on RAND.org on February 01, 2010

by Carrie M. Farmer, Mark J. Sorbero, Mark J Mihalyo, Jane N. Kogan, James Schuster, Charles F. Reynolds III, Bradley D. Stein

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OBJECTIVE: To determine whether Medicaid-enrolled depressed adults receive adequate treatment for depression and to identify the characteristics of those receiving inadequate treatment. DATA SOURCE: Claims data from a Medicaid-enrolled population in a large mid-Atlantic state between July 2006 and January 2008. STUDY DESIGN: The authors examined rates and predictors of minimally adequate psychotherapy and pharmacotherapy among adults with a new depression treatment episode during the study period (N=1,098). PRINCIPAL FINDINGS: Many depressed adults received either minimally adequate psychotherapy or pharmacotherapy. Black individuals and individuals who began their depression treatment episode with an inpatient psychiatric stay for depression were markedly less likely to receive minimally adequate psychotherapy and more likely to receive inadequate treatment. CONCLUSIONS: Racial minorities and individuals discharged from inpatient treatment for depression are at risk for receiving inadequate depression treatment.

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