Figure 2. Differences in 2-Year Trends Between Pandemic and Prepandemic Cohorts in Mental Health Visits, Acute Care Use, and Medication Adherence According to Practices’ Use of Telemedicine.

Plots show the differences in the unadjusted mean trends in mental health visits, acute care use (hospitalization and emergency department visits), and antipsychotic and mood-stabilizing medication fills between the pandemic and prepandemic cohorts. Panels A-C show absolute differences in trends between the pandemic and prepandemic cohorts (difference = pandemic − prepandemic values) according to the practice’s use of telemedicine. Practices with lowest, middle, and highest use delivered 0%-49%, 50%-89%, and 90%-100% of mental health visits, respectively, via telemedicine. Panels D-F show the differences as relative changes compared with the prepandemic cohort mean (relative change = difference/prepandemic value). Vertical lines separate years 1 and 2 and correspond to the start of the pandemic in March 2020 for the pandemic cohort. TMH indicates telemental health.