Table 6.
Mental Health Treatment of Patients With Schizophrenia During the 45 Days After Discontinuing FD, HD, or LAR
FD Patients, % (N = 816) | HD Patients, % (N = 1301) | LAR Patients, % (N = 102) | Statistics | Group Differencesa | |||
Medication | χ2 | df | P | ||||
Any oral antipsychotic | 77.4 | 78.9 | 75.5 | 1.1 | 2 | .57 | |
Oral antipsychotic medications | |||||||
Fluphenazine | 24.0 | 1.7 | 4.9 | 279.7 | 2 | <.0001 | FD > LAR > HD |
Haloperidol | 6.0 | 23.5 | 7.8 | 118.1 | 2 | <.0001 | HD > FD, LAR |
Risperidone | 20.1 | 21.6 | 43.4 | 28.4 | 2 | <.0001 | LAR>FD, HD |
Olanzapine | 30.0 | 30.0 | 23.5 | 1.9 | 2 | .39 | |
Quetiapine | 21.4 | 19.1 | 13.7 | 4.2 | 2 | .12 | |
Ziprasidone | 6.5 | 6.1 | 4.9 | 0.4 | 2 | .80 | |
Aripiprazole | 2.0 | 3.1 | 5.9 | 6.0 | 2 | .049 | LAR > FD |
Clozapine | 7.8 | 7.6 | 5.9 | 0.5 | 2 | .78 | |
Other psychotropic medications | |||||||
Antidepressant | 38.2 | 33.9 | 39.2 | 4.7 | 2 | .10 | FD > HD |
Anxiolytic/hypnotic | 34.9 | 29.8 | 36.3 | 7.1 | 2 | .03 | FD > HD |
Mood stabilizer | 46.6 | 45.5 | 35.3 | 2.7 | 2 | .26 | FD, HD > LAR |
Antipsychotic gap of >30 days among oral users | 5.5 | 6.6 | 9.1 | 1.8 | 2 | .41 | |
Antipsychotic MPRb <0.80 | 35.9 | 38.7 | 48.0 | 6.2 | 2 | .046 | LAR > FD |
Acute mental health care (%) | |||||||
Emergency visit | 8.1 | 6.2 | 6.9 | 2.9 | 2 | .23 | |
Hospital admission | 0.6 | 0.6 | 0 | 0.6 | 2 | .73 |
Note: Data from 2001 to 2004 Medi-Cal. FD denotes fluphenazine decanoate, HD denotes haloperidol decanoate, and LAR denotes long-acting risperidone.
Group differences, P < .05.
MPR denotes medication possession ratio and is defined as the proportion of days of any antipsychotic medication treatment during the 45 days after depot injection treatment.