Table 1.
Pre-parity | Transition | Post-parity | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | |||||||
N | 4,390 | 7,651 | 9,532 | 11,409 | 14,372 | 17,101 | ||||||
N | % | N | % | N | % | N | % | N | % | N | % | |
Female | 3,944 | 89.8 | 6,677 | 87.3 | 8,174 | 85.8 | 9,734 | 85.3 | 12,206 | 84.9 | 14,465 | 84.6 |
Age | ||||||||||||
13–17 | 521 | 11.9 | 838 | 11.0 | 916 | 9.6 | 1,184 | 10.4 | 1,915 | 13.3 | 2,929 | 17.1 |
18–24 | 765 | 17.4 | 997 | 13.0 | 756 | 7.9 | 265 | 2.3 | 232 | 1.6 | 236 | 1.4 |
25–34 | 912 | 20.8 | 1,651 | 21.6 | 2,161 | 22.7 | 2,543 | 22.3 | 2,952 | 20.5 | 3,134 | 18.3 |
35–44 | 1,056 | 24.1 | 1,920 | 25.1 | 2,562 | 26.9 | 3,265 | 28.6 | 4,026 | 28.0 | 4,612 | 27.0 |
45–54 | 878 | 20.0 | 1,655 | 21.6 | 2,283 | 24.0 | 2,950 | 25.9 | 3,622 | 25.2 | 4,237 | 24.8 |
55–64 | 258 | 5.9 | 590 | 7.7 | 854 | 9.0 | 1,202 | 10.5 | 1,625 | 11.3 | 1,953 | 11.4 |
Any co-morbid mental health diagnosis | 1,925 | 43.8 | 3,074 | 40.2 | 3,712 | 38.9 | 4,182 | 36.7 | 5,339 | 37.1 | 6,436 | 37.6 |
Bipolar disorder | 223 | 5.1 | 318 | 4.2 | 378 | 4.0 | 417 | 3.7 | 538 | 3.7 | 586 | 3.4 |
Depression | 1,125 | 25.6 | 1,724 | 22.5 | 2,059 | 21.6 | 2,281 | 20.0 | 2,760 | 19.2 | 3,380 | 19.8 |
Anxiety/PTSD/Phobia/OCD | 258 | 5.9 | 485 | 6.3 | 613 | 6.4 | 729 | 6.4 | 1,041 | 7.2 | 1,304 | 7.6 |
Other disorder | 319 | 7.3 | 547 | 7.1 | 662 | 6.9 | 755 | 6.6 | 1,000 | 7.0 | 1,166 | 6.8 |
Intensity of mental health service use | ||||||||||||
M | SD | M | SD | M | SD | M | SD | M | SD | M | SD | |
Average number of inpatient days per year, among inpatient service users (N=1,516) | 17.4 | 19.0 | 16.6 | 18.5 | 18.1 | 18.5 | 18.1 | 19.5 | 18.3 | 22.3 | 18.1 | 21.7 |
Average number of outpatient visits per year, among outpatient service users (N=36,937) | 15.1 | 21.5 | 14.8 | 20.7 | 14.7 | 20.7 | 14.8 | 22.8 | 16.7 | 26.5 | 17.6 | 26.9 |
Average number of psychotherapy visits per year, among psychotherapy users (N=24,000) | 14.5 | 15.6 | 14.8 | 16.1 | 14.7 | 16.6 | 15.3 | 18.6 | 16.5 | 21.5 | 16.4 | 19.5 |
Average number of medication management visits per year, among medication management users (N=5,879) | 4.2 | 3.9 | 4.0 | 3.5 | 4.4 | 4.6 | 4.3 | 4.3 | 4.2 | 4.1 | 4.1 | 3.8 |
Average number of partial hospitalization/intensive outpatient visits per year, among users of either service (N=1,831) | 16.1 | 20.6 | 17.1 | 19.9 | 15.7 | 14.4 | 19.9 | 21.7 | 22.3 | 22.3 | 23.3 | 22.2 |
Average number of other outpatient services excluding those above, among outpatient service users (N=25,999) | 3.2 | 7.1 | 3.3 | 6.7 | 3.3 | 6.5 | 3.1 | 6.4 | 3.5 | 8.5 | 3.9 | 8.0 |
Mental health spending | ||||||||||||
Average total mental health spending per year | 3,829 | 11,080 | 3,499 | 9,986 | 3,242 | 8,707 | 3,006 | 8,607 | 3,306 | 9,904 | 3,475 | 10,973 |
Average out-of-pocket mental health spending per year | 601 | 1,874 | 588 | 2,103 | 504 | 948 | 458 | 815 | 492 | 913 | 498 | 936 |
Note: Descriptive statistics are presented in person years. Individuals are represented each year from the first year they have an eating disorder diagnosis and 12-month continuous enrollment in a calendar year. There are 27,594 unique individuals with eating disorders diagnoses in the study sample. Persons with an eating disorder diagnosis could have more than one co-morbid mental health diagnosis.