Table 4.
Characteristics of the Psychiatric Services Provided to Depressed Patients by Substance Use Disorder (SUD) Status (N = 595)a
| Non-SUD (N = 487) |
SUD (N = 108) |
||||
|---|---|---|---|---|---|
| Characteristic | % | SE | % | SE | ORb 95% CI |
| Treatment setting | |||||
| Solo practice | 46.6 | 3.6 | 43.0 | 6.2 | … |
| Group office | 20.7 | 3.2 | 15.0 | 4.4 | 0.7 (0.3 to 1.6) |
| Public general hospital | 2.4 | 0.8 | 6.7 | 2.8 | 3.7 (1.1 to 12.0) |
| Private general hospital | 7.2 | 1.8 | 6.0 | 2.8 | 1.1 (0.4 to 3.3) |
| Public psychiatric hospital | 1.2 | 0.6 | 0 | 0 | |
| Private psychiatric hospital | 2.0 | 0.7 | 4.2 | 1.7 | 3.3 (0.9 to 12.3) |
| Group HMO | 1.4 | 1.0 | 0 | 0 | |
| Private clinic outpatient | 9.6 | 2.3 | 5.4 | 2.6 | 0.5 (0.1 to 2.0) |
| Public clinic outpatient | 6.5 | 1.8 | 14.9 | 4.9 | 1.8 (0.7 to 5.2) |
| Nursing home | 0.7 | 0.5 | 0 | 0 | |
| Correctional facility | 0.2 | 0.1 | 0.8 | 0.6 | 2.3 (0.5 to 11.7)c |
| Other | 1.4 | 0.7 | 3.8 | 2.4 | 5.3 (0.7 to 4.7)c |
| Locus of care | |||||
| Inpatient | 9.7 | 2.0 | 12.0 | 3.7 | 0.9 (0.2 to 4.3) |
| Outpatient | 86.4 | 2.6 | 84.8 | 3.9 | … |
| Partial | 3.9 | 1.7 | 3.2 | 1.4 | 0.7 (0.1 to 4.7) |
| Health plan (all that apply) | |||||
| Carve out | 14.6 | 2.2 | 10.7 | 3.3 | 0.8 (0.4 to 1.9) |
| HMO/PPO | 22.9 | 2.5 | 20.3 | 5.3 | 1.4 (0.7 to 3.0) |
| Managed care other | 7.0 | 1.3 | 2.8 | 1.4 | 0.3 (0.1 to 1.2) |
| Non–managed care, private | 29.5 | 2.7 | 25.8 | 5.0 | … |
| Non–managed care, public | 20.9 | 2.6 | 36.6 | 6.3 | 2.9 (1.4 to 6.2) |
| No coverage | 6.0 | 1.4 | 9.1 | 2.9 | 1.2 (0.4 to 3.2) |
| Primary payment source | |||||
| Private | 49.2 | 2.9 | 42.2 | 5.9 | … |
| Medicare | 11.7 | 2.0 | 17.3 | 4.5 | 1.2 (0.3 to 4.6) |
| Medicaid | 6.3 | 1.7 | 11.5 | 4.5 | 0.7 (0.1 to 3.6) |
| Workers’ compensation | 1.0 | 0.4 | 0.5 | 0.5 | 0.2 (0.0 to 3.4)c |
| Other public | 2.6 | 1.0 | 5.6 | 2.2 | 0.6 (0.1 to 4.2) |
| No charge | 1.3 | 0.6 | 1.6 | 0.7 | 0.7 (0.1 to 6.5) |
| Self-pay | 27.8 | 2.7 | 21.3 | 4.5 | 0.6 (0.3 to 1.2) |
a
Abbreviations: CI = confidence interval, HMO = health maintenance organization, OR = odds ratio, PPO = preferred provider organization.
Symbol: … = category was used as the reference group.
b
OR adjusted for gender, age, Axis II comorbidity, treatment setting, other managed care health plan, and public non–managed health plan.
c
OR is not reliable owing to small cell sizes.