Table 5. Odds ratios (OR) and 95 % CI from random-effects logistic regression models of continuity of care.
Medication managementa | Outpatient treatmenta | Intensity of aftercarea | Case managementa | |||||||||
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OR | 95 % CI | p | OR | 95 % CI | p | OR | 95 % CI | p | OR | 95 % CI | p | |
Individual-level factors | – | – | – | – | – | – | – | – | – | – | – | – |
Demographics | – | – | – | – | – | – | – | – | – | – | – | – |
Age, for a 10 year increase | 1.14 | 1.08–1.19 | <0.001 | 1.14 | 1.08–1.19 | <0.001 | 1.02 | 0.93–1.13 | 0.649 | 1.22 | 1.11–1.33 | <0.001 |
Race/ethnicity (whiteb) | – | – | – | – | – | – | – | – | – | – | – | – |
Black | 0.76 | 0.68–0.85 | <0.001 | 0.85 | 0.76–0.95 | 0.006 | 0.77 | 0.60–0.97 | 0.028 | 0.83 | 0.67–1.03 | 0.090 |
Other | 0.90 | 0.56–1.45 | 0.677 | 0.72 | 0.46–1.15 | 0.171 | 0.74 | 0.27–2.01 | 0.552 | 0.70 | 0.28–1.77 | 0.448 |
Male | 1.00 | 0.91–1.11 | 0.965 | 0.89 | 0.81–0.99 | 0.030 | 0.85 | 0.68–1.06 | 0.146 | 0.84 | 0.69–1.02 | 0.076 |
Marital status (single) | – | – | – | – | – | – | – | – | – | – | – | – |
Married | 0.85 | 0.70–1.04 | 0.121 | 0.77 | 0.63–0.93 | 0.008 | 1.19 | 0.77–1.85 | 0.428 | 0.45 | 0.30–0.68 | <0.001 |
Divorced, separated, widowed | 0.92 | 0.82–1.03 | 0.144 | 0.98 | 0.87–1.11 | 0.775 | 0.70 | 0.55–0.91 | 0.007 | 0.86 | 0.68–1.07 | 0.181 |
Living arrangement(independent) | –– | – | – | – | – | – | – | – | – | – | – | – |
Living with family | 1.00 | 0.70–1.42 | 0.992 | 0.55 | 0.39–0.77 | <0.001 | 0.82 | 0.37–1.84 | 0.627 | 0.35 | 0.16–0.80 | 0.013 |
Homeless or shelter | 0.55 | 0.37–0.83 | 0.004 | 1.05 | 0.67–1.62 | 0.839 | 1.81 | 0.89–3.64 | 0.099 | 1.22 | 0.66–2.26 | 0.532 |
Residential program | 1.52 | 1.18–1.95 | 0.001 | 2.34 | 1.75–3.13 | <0.001 | 1.33 | 0.82–2.16 | 0.242 | 2.42 | 1.49–3.92 | <0.001 |
Clinical | – | – | – | – | – | – | – | – | – | – | – | – |
Primary diagnosis (schizophrenia) | – | – | – | – | – | – | – | – | – | – | – | – |
Schizoaffective | 1.12 | 1.01–1.23 | 0.027 | 0.97 | 0.88–1.08 | 0.597 | 1.20 | 0.97–1.48 | 0.099 | 0.92 | 0.76–1.11 | 0.379 |
Co-occurring diagnosis | – | – | – | – | – | – | – | – | – | – | – | – |
Substance abuse disorder | 0.65 | 0.55–0.77 | <0.001 | 0.83 | 0.69–0.99 | 0.042 | 1.20 | 0.87–1.66 | 0.270 | 0.76 | 0.59–0.97 | 0.027 |
Depressive disorder | 0.80 | 0.69–0.93 | 0.003 | 1.38 | 1.18–1.63 | <0.001 | 1.71 | 1.34–2.18 | <0.001 | 0.89 | 0.72–1.09 | 0.261 |
Anxiety disorder | 0.93 | 0.70–1.24 | 0.638 | 1.02 | 0.75–1.38 | 0.901 | 1.14 | 0.66–1.97 | 0.636 | 0.85 | 0.57–1.26 | 0.417 |
Charlson comorbidity index (0) | – | – | – | – | – | – | – | – | – | – | – | – |
1 | 1.23 | 1.09–1.40 | 0.001 | 1.22 | 1.07–1.38 | 0.003 | 1.36 | 1.06–1.74 | 0.014 | 1.30 | 1.04–1.64 | 0.024 |
2 | 1.36 | 1.06–1.76 | 0.017 | 1.08 | 0.84–1.39 | 0.565 | 1.20 | 0.73–1.99 | 0.468 | 0.82 | 0.54–1.25 | 0.349 |
≥3 | 1.17 | 0.83–1.66 | 0.373 | 1.33 | 0.92–1.92 | 0.134 | 1.51 | 0.81–2.84 | 0.196 | 1.15 | 0.64–2.08 | 0.635 |
Prior hospitalization in past year | 1.00 | 0.89–1.13 | 0.985 | 1.48 | 1.31–1.69 | <0.001 | 0.11 | 0.08–0.14 | <0.001 | 1.45 | 1.22–1.73 | <0.001 |
Contextual-level factors | – | – | – | – | – | – | – | – | – | – | – | – |
Sociodemographics | – | – | – | – | – | – | – | – | – | – | – | – |
Percent African | 0.92 | 0.83–1.01 | 0.095 | 1.05 | 0.95–1.17 | 0.354 | 0.93 | 0.80–1.08 | 0.335 | 0.98 | 0.83–1.17 | 0.858 |
American | ||||||||||||
Percent Hispanic | 1.04 | 0.85–1.27 | 0.709 | 1.09 | 0.87–1.35 | 0.467 | 0.92 | 0.72–1.19 | 0.535 | 1.01 | 0.76–1.35 | 0.935 |
Per capita income, per $10,000 | 1.02 | 0.56–1.87 | 0.947 | 0.94 | 0.49–1.80 | 0.848 | 1.79 | 0.73–4.41 | 0.204 | 0.99 | 0.35–2.80 | 0.984 |
Percent living in poverty | 0.99 | 0.93–1.06 | 0.854 | 0.96 | 0.90–1.03 | 0.244 | 0.98 | 0.90–1.08 | 0.710 | 0.92 | 0.83–1.03 | 0.137 |
Percent unemployed | 1.06 | 0.98–1.14 | 0.127 | 1.02 | 0.94–1.10 | 0.660 | 0.98 | 0.83–1.16 | 0.806 | 1.09 | 0.94–1.26 | 0.252 |
Health care system | – | – | – | – | – | – | – | – | – | – | – | – |
Psychiatrists per 10,000 pop | 0.84 | 0.41–1.73 | 0.642 | 1.12 | 0.51–2.46 | 0.777 | 1.19 | 0.52–2.75 | 0.677 | 1.82 | 0.65–5.11 | 0.257 |
Psychologists per 10,000 pop | 1.30 | 1.07–1.57 | 0.008 | 1.27 | 1.04–1.55 | 0.021 | 0.88 | 0.59–1.31 | 0.524 | 1.19 | 0.76–1.86 | 0.445 |
Social workers per 10,000 pop | 1.03 | 0.98–1.09 | 0.282 | 0.94 | 0.88–1.00 | 0.043 | 0.96 | 0.89–1.04 | 0.359 | 0.93 | 0.85–1.01 | 0.081 |
CMHCc | 1.10 | 0.89–1.36 | 0.362 | 1.10 | 0.86–1.39 | 0.450 | 1.31 | 1.09–1.58 | 0.005 | 1.06 | 0.82–1.38 | 0.660 |
Rurality: urban influence code (1)d | – | – | – | – | – | – | – | – | – | – | – | – |
2 | 1.02 | 0.76–1.37 | 0.882 | 0.77 | 0.55–1.06 | 0.112 | 1.24 | 0.85–1.80 | 0.259 | 0.81 | 0.52–1.24 | 0.324 |
3 | 1.07 | 0.69–1.65 | 0.762 | 0.90 | 0.56–1.44 | 0.660 | 1.08 | 0.54–2.14 | 0.826 | 0.83 | 0.43–1.60 | 0.573 |
4 | 0.45 | 0.23–0.90 | 0.024 | 0.78 | 0.37–1.65 | 0.519 | 1.29 | 0.29–5.81 | 0.742 | 1.58 | 0.37–6.63 | 0.535 |
5 | 0.88 | 0.57–1.36 | 0.564 | 0.92 | 0.57–1.47 | 0.712 | 1.08 | 0.54–2.16 | 0.830 | 0.60 | 0.30–1.22 | 0.159 |
6 | 0.71 | 0.37–1.36 | 0.298 | 0.70 | 0.35–1.39 | 0.303 | 0.17 | 0.02–1.45 | 0.105 | 0.21 | 0.06–0.79 | 0.021 |
7, 8, 9, and 10e | 0.58 | 0.32–1.08 | 0.362 | 0.47 | 0.24–0.90 | 0.023 | 0.59 | 0.15–2.39 | 0.461 | 0.24 | 0.07–0.80 | 0.020 |
CI confidence interval
Medication management: χ2 = 180.1, df (32), p < 0.001; outpatient treatment: χ2 = 210.4, df (32), p < 0.001; intensity of aftercare: χ2 = 308.3, df (32), p <0.001; case management: χ2 = 115.1, df (32), p <0.001
Reference categories are in parentheses
Community mental health centers
Most urban
Most rural