TABLE 2—
Mental Health and Substance Abuse Services at Community Health Centers: Uniform Data System, 1998 and 2003
| Comparisons of 1998 vs 2003 |
|||||
|---|---|---|---|---|---|
| 1998 (n = 694) | 2003 (n = 890) | Statistical test | df | P | |
| On-site mental health/substance abuse services | |||||
| On-site mental health treatment, % | 52.7 | 70.0 | χ2 = 16.5 | 1 | <.001 |
| On-site 24-hour mental health crisis services, % | 16.8 | 20.2 | χ2 = 8.0 | 1 | .005 |
| On-site substance abuse treatment, % | 43.2 | 50.3 | χ2 = 3.2 | 1 | .07 |
| Any on-site mental health or substance abuse treatment, % | 60.4 | 73.5 | χ2 = 6.6 | 1 | .01 |
| On-site mental health/substance abuse clinicians | |||||
| Mean no. mental health/substance abuse clinicians per community health center | 1.7 | 1.8 | F = 0.3 | 1, 1524 | .56 |
| Proportion of mental health/substance abuse clinicians to primary care clinicians, % | 16.4 | 11.5 | F = 10.8 | 1 | .001 |
| Mental health/substance abuse visits | |||||
| Mean no. mental health/substance abuse visits per community health center | 2 190 | 3 153 | F = 7.4 | 1, 1524 | .007 |
| Mental health/substance abuse visits as a proportion of all community health center visits | 4.5 | 5.3 | F = 3.3 | 1, 1524 | .07 |
| Mental health/substance abuse patients | |||||
| Mean no. mental health/substance abuse patients treated per community health center | 302 | 899 | F = 40.6 | 1, 1524 | <.001 |
| Mental health/substance abuse patients as a proportion of all community health center patients | 2.7 | 7.5 | F = 34.0 | 1, 1524 | <.001 |
| No. patients per mental health/substance abuse clinician | 178 | 499 | F = 6.43 | 1, 1087 | .01 |
| No. visits per mental health/substance abuse patient | 7.2 | 3.5 | F = 6.77 | 1, 1087 | .009 |
| Mental health | 6.0 | 3.0 | F = 7.74 | 1, 1135 | .006 |
| Substance abuse (alcohol and illegal drugs) | 13.3 | 7.2 | F = 6.26 | 1, 1047 | .01 |
Note. Data are mean values per community health center for each year. Chi-square tests for dichotomous variables are from logistic regression models adjusted for demographic variables from Table 1▶ (age, gender, race, poverty status, urban/rural character, and geographic region). F tests for continuous variables are from generalized linear models adjusted for the same demographic variables.