Changes in Psychotherapy Utilization Among Consumers of Services for Major Depressive Disorder in the Community Mental Health System

Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, Philadelphia, PA 19104, USA.
Administration and Policy in Mental Health and Mental Health Services Research (Impact Factor: 3.44). 02/2011; 38(6):495-503. DOI: 10.1007/s10488-011-0336-1
Source: PubMed


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.

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    • "These agencies provide care to serve the mental health and substance abuse needs of the city's 420,000 Medicaid recipients. Recent utilization data indicate that approximately 38% of the clients in the mental health system have a diagnosis of major depressive disorder (28%) or depression NOS (10%), and 87% of these clients receive psychotherapy [25] "
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