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. Author manuscript; available in PMC: 2015 Apr 23.
Published in final edited form as: J Am Acad Child Adolesc Psychiatry. 2010 Dec 3;50(1):32–45. doi: 10.1016/j.jaac.2010.10.006

Table 5.

Lifetime rates of mental health specialty service visita by frequency and associations between frequency of visits and DSM-IV disorder classes

No. of cases Frequency of Visits, % (95% CI)b Frequency of Visits, Adjusted Odds Ratio (95% CI)c
Disorder Classes Frequent Intermediate Limited Frequent Intermediate Limited
Mood disorders 921 23.1 ( 17.8 - 29.4 ) 17.8 ( 14.1 - 22.3 ) 59.1 ( 53.3 - 64.6 ) 1.43 (0.88 - 2.31) 0.74 (0.51 - 1.07) 1.03 (0.70 - 1.53)
Anxiety disorders 1506 15.2 ( 11.4 - 20.0 ) 12.8 ( 10.7 - 15.2 ) 72.0 ( 68.1 - 75.5 ) 1.63 (0.92 -2.87) 0.73 (0.46 - 1.17) 0.96 (0.65 - 1.43)
Attention deficit hyperactivity disorder 617 26.3 ( 20.9 - 32.4 ) 23.9 ( 19.2 - 29.3 ) 49.8 ( 42.7 - 56.9 ) 2.38 (1.33 - 4.27) 1.13 (0.73 - 1.74) 0.52 (0.31 - 0.87)
Conduct or oppositional defiant disorders 974 24.9 ( 19.5 - 31.2 ) 24.1 ( 19.8 - 29.0 ) 51.1 ( 45.4 - 56.6 ) 1.66 (0.83 - 3.31) 1.36 (0.91 - 2.01) 0.58 (0.36 - 0.95)
Substance disorders 666 24.3 ( 18.1 - 32.0 ) 18.8 ( 14.4 - 24.2 ) 56.9 ( 49.1 - 64.3 ) 1.62 (0.76 - 3.46) 0.77 (0.49 - 1.21) 0.90 (0.51 - 1.58)
Any Class d 2899 15.5 ( 12.8 - 18.5 ) 16.2 ( 14.2 - 18.4 ) 68.4 ( 65.4 - 71.2 ) -- -- --
1 class 1692 7.3 ( 5.3 - 9.8 ) 11.9 ( 10.1 - 14.1 ) 80.8 ( 78.3 - 83.1 ) 1.00 1.00 1.00
2 classes 768 21.6 ( 16.4 - 27.9 ) 21.9 ( 16.6 - 28.4 ) 56.5 ( 50.1 - 62.6 ) 1.68 (0.74 - 3.81) 1.44 (0.76 - 2.69) 0.55 (0.29 - 1.06)
3+ classes 439 35.6 ( 27.7 - 44.3 ) 22.5 ( 16.3 - 30.3 ) 41.9 ( 35.4 - 48.8 ) 1.37 (0.33 - 5.61) 1.45 (0.61 - 3.43) 0.51 (0.18 - 1.43)

Note:

a

Visits made to mental health outpatient facilities (e.g,, community mental health center or drug/alcohol clinic), and to mental health professionals (e.g., psychiatrist, psychologist, social worker, or family counselor) in their lifetime; categorized as frequent (>20 visits), intermediate (6-20 visits) and limited (<6 visits)

b

Proportions of visit frequency groups in each category among those with any DSM-IV disorder

c

Adjusted odds ratios of visit frequency groups by DSM-IV disorder class controlling for demographic characteristics (sex, age, race/ethnicity, parent marital status and education, region, urbanicity, and poverty index ratio), specific classes of disorders, and number of classes of disorders among adolescents who received any treatment

d

Excluding eating disorder