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