Table 3.
Facility-level characteristics associated with youth service availability in specialty mental health treatment facilities
| Hospital-based Facilities+ (N=1,533) | Community-based Facilities‡ (N=6,034) | |||||
|---|---|---|---|---|---|---|
| # of facilities | % that Serve Youth§ (Unadjusted) | Percentage Point Difference± (Adjusted) | # of facilities | % that Serve Youth§ (Unadjusted) | Percentage Point Difference± (Adjusted) | |
| Facility type | ||||||
| Psychiatric hospital | 611 | 52.5% (Ref) | (Ref) | - | - | - |
| General hospital with separate psychiatric inpatient unit | 922 | 29.5%*** | −18.3%*** | - | - | - |
| Freestanding outpatient facility | - | - | - | 4,992 | 76.4% (Ref) | (Ref) |
| Multisetting, non-hospital facility | - | - | - | 1,042 | 72.4%** | −3.5%* |
| Ownership type a,b | ||||||
| Public | 478 | 33.9% (Ref) | (Ref) | 1,561 | 69.0% (Ref) | (Ref) |
| Private, for profit | 279 | 48.8%*** | 14.6%*** | 315 | 83.2%*** | 23.1%*** |
| Private, not-for-profit | 770 | 38.1% | 14.1%*** | 4,151 | 77.7%*** | 14.7%*** |
| Facility Patient Volume | ||||||
| Small (< 33rd percentile) | 333 | 17.7% (Ref) | (Ref) | 1,364 | 65.6% (Ref) | (Ref) |
| Medium (33rd – 66th percentile) | 384 | 34.9%*** | 12.9%*** | 1,370 | 78.5%*** | 15.2%*** |
| Large (> 66th percentile) | 387 | 56.6%*** | 23.1%*** | 1,409 | 81.1%*** | 20.7%*** |
| Missing information on volume | 429 | 42.2%*** | 18.0%*** | 1,891 | 76.9%*** | 12.0%*** |
| Religious affiliation c,d | ||||||
| No religious affiliation | 1,269 | 39.0% (Ref) | (Ref) | 5,586 | 74.7% (Ref) | (Ref) |
| Has religious affiliation | 249 | 36.6% | −4.8% | 386 | 90.7%*** | 22.2%*** |
Notes:
p<0.05
p<0.01
p<0.001
Statistical tests were conducted using adjusted Wald tests.
Adjusted percentage point difference based on results from logistic regression models that control for all covariates in the table, county socio-demographic characteristics, county-level insurance coverage, and state indicators; N=15 hospital-based facilities and N=14 community-based facilities were excluded from each respective regression model due to perfect prediction (e.g., all facilities in a specific state offered youth services).
Total does not add to 1,533 hospital-based facilities due to missing values: n=6
Total does not add to 6,034 community-based facilities due to missing values: n=7.
Total does not add to 1,533 hospital-based facilities due to missing values: n=15
Total does not add to 6,034 community-based facilities due to missing values: n=62.