Table 3.
Unadjusted Service Use and Cost (2006 US $) by Randomization Condition Through 24 Weeks
Variable | With Use or Cost, %
|
Visits or Costs, Mean (SD)
|
||
---|---|---|---|---|
RX | RX + CBT | RX (n=168) | RX + CBT (n=166) | |
Nonprotocol services | ||||
Inpatient mental health days | 3.6 | 3.0 | 0.9 (7.9) | 2.0 (16.2) |
Inpatient alcohol or drug days | 0.6 | 0 | 0.0 (0.1) | 0 |
Counseling or medication management visits | 22.9 | 19.6 | 1.9 (4.7) | 2.1 (5.4) |
Day hospital days | 1.8 | 2.4 | 0.2 (1.7) | 0.5 (2.8) |
Alcohol or drug treatment visits | 1.2 | 0.6 | 0.1 (1.1) | 0.1 (1.1) |
Crisis services | 0 | 1.8 | 0.1 (0.9) | 0.1 (0.9) |
Medical physician visits | 1.2 | 4.2 | 0.1 (0.5) | 0.1 (0.4) |
Emergency department visits | 3.0 | 4.8 | 0.2 (0.7) | 0.1 (0.4) |
Antidepressant medication from nonprotocol care providers | 9.5 | 12.0 | NA | NA |
Stimulant medication | 0 | 3.0 | NA | NA |
Other psychotropic medication | 0.6 | 1.8 | NA | NA |
Any school services | 16.3 | 11.9 | 4.6 (14.8) | 2.8 (11.5) |
Juvenile correction contact | 1.2 | 1.2 | 0.1 (0.5) | 0.2 (1.4) |
Nonprotocol costs, $ | ||||
Any | 53.6 | 48.2 | 1646 (5092) | 2435 (8878)a |
Total nonprotocol family | NA | NA | 305 (1178) | 325 (973) |
Intervention costs, $ | ||||
Medication | NA | NA | 460 (182) | 460 (183) |
Medication management | NA | NA | 665 (326) | 628 (365) |
CBT | NA | NA | NA | 232 (108) |
Total intervention family | NA | NA | 1204 (1479) | 1606 (1200) |
Total intervention costs | NA | NA | 2481 (1718) | 3224 (1609)b |
Total costsc | NA | NA | 4673 (7173) | 6306 (12 029)b |
Abbreviations: NA, not applicable; RX, medication switch only; RX + CBT, combined medication switch and cognitive behavior therapy.
Not statistically significant.
Statistically significant, P<.001.
Total costs were imputed using multiple imputation with chained equations if missing.