Article

Predictors of adequate depression treatment among Medicaid-enrolled adults.

RAND Corporation, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA 15213, USA.
Health Services Research (impact factor: 2.16). 10/2009; 45(1):302-15. DOI:10.1111/j.1475-6773.2009.01060.x
Source: PubMed

ABSTRACT To determine whether Medicaid-enrolled depressed adults receive adequate treatment for depression and to identify the characteristics of those receiving inadequate treatment.
Claims data from a Medicaid-enrolled population in a large mid-Atlantic state between July 2006 and January 2008.
We 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).
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.
Racial minorities and individuals discharged from inpatient treatment for depression are at risk for receiving inadequate depression treatment.

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Keywords

adequate treatment
 
adults
 
Claims data
 
depressed adults
 
depression treatment episode
 
inadequate depression treatment
 
inadequate treatment
 
inpatient treatment
 
large mid-Atlantic state
 
Medicaid-enrolled depressed adults
 
Medicaid-enrolled population
 
minimally adequate psychotherapy
 
new depression treatment episode
 
predictors
 
Racial minorities
 
receiving inadequate treatment
 
study period