Table 4.
Logistic Regression Results Examining the Relationship between Type of Usual Provider and Mental Health Service Use
| Marginal effect (95 % CI)* | |||
|---|---|---|---|
| Type of mental health service | Usual provider† vs. no usual provider | PCMH‡ vs. no usual provider | PCMH vs. usual provider |
| Any mental health service | 15.2 (9.0, 21.4) | 17.0 (9.5, 24.5) | 1.8 (−4.5, 8.0) |
| Visit with primary care provider | 8.5 (3.2, 13.8) | 6.3 (−0.1, 12.7) | −2.2 (−7.4, 3.0) |
| Visit with mental health specialist | 4.9 (−0.7, 10.6) | 7.6 (0.7, 14.4) | 2.6 (−3.0, 8.2) |
| Counseling or psychotherapy | 5.1 (−0.7, 10.9) | 8.5 (1.5, 15.6) | 3.4 (−2.3, 9.2) |
| Psychiatric medication | 15.5 (9.4, 21.5) | 16.8 (9.4, 24.2) | 1.4 (−4.8, 7.6) |
Abbreviations: PCMH patient-centered medical home
*Logistic regression model results. Marginal effects indicate the predicted change in the probability of mental health service use when patients have a usual non-PCMH provider, PCMH provider, or no usual provider, holding covariates at their observed value. Confidence interval ranges above 0 are statistically significant at the p < 0.05 level
†"Usual provider" defined as a usual primary care provider or clinic that did not meet all PCMH criteria (accessible, comprehensive, and patient-centered)
‡"PCMH" defined as a usual primary care provider or clinic that delivered accessible, comprehensive, patient-centered services