Table 2.
Proportions of patients using specific service types prior to first diagnosis of psychotic disorder compared to matched controls selected from all health plan members and from those receiving first diagnoses of unipolar depression.
| Psychotic Disorder | General Population | Psychotic Disorder vs. Gen. Population | Unipolar Depression | Psychotic Disorder vs. Depression | |||
|---|---|---|---|---|---|---|---|
| 3 Months Prior to Diagnosis | n=624 | n=1851 | Odds Ratio | 95% CI | n=1862 | Odds Ratio | (95% CI) |
| Hospitalization with MH Diagnosis | 23 (4%) | 1 (<1%) | 70.8 | 9.5 – 525 | 22 (1%) | 3.20 | 1.77 – 5.78 |
| Emerg. Dept. w/MH Diagnosis | 87 (14%) | 7 (<1%) | 42.7 | 19.6 – 92.7 | 99 (5%) | 2.89 | 2.13 – 3.91 |
| Specialty MH Outpatient Visit | 126 (20%) | 25 (1%) | 18.5 | 11.9 – 28.7 | 217 (12%) | 1.92 | 1.51 – 2.44 |
| Prim. Care Visit w/MH Diagnosis | 103 (16%) | 24 (1%) | 15.1 | 9.6 – 23.7 | 212 (11%) | 1.54 | 1.19 – 1.99 |
| Any of the Above | 308 (49%) | 71 (4%) | 24.4 | 18.4 – 32.5 | 618 (33%) | 1.96 | 1.63 – 2.36 |
| Any Outpatient Visit for any Diag. | 437 (70%) | 463 (25%) | 7.01 | 5.37 – 8.56 | 1198 (64%) | 1.29 | 1.07 – 1.58 |
| 12 Months Prior to Diagnosis | n=624 | n=1851 | n=1862 | ||||
| Hospitalization with MH Diagnosis | 48 (8%) | 9 (1%) | 17.1 | 8.4 – 35.1 | 51 (3%) | 2.91 | 1.97 – 4.43 |
| Emerg. Dept. w/MH Diagnosis | 149 (24%) | 34 (2%) | 16.8 | 11.5 – 24.8 | 175 (9%) | 3.02 | 2.37 – 3.84 |
| Specialty MH Outpatient Visit | 178 (29%) | 57 (3%) | 12.6 | 9.2 – 17.3 | 310 (17%) | 2.00 | 1.61 – 2.47 |
| Prim. Care Visit w/MH Diagnosis | 177 (29%) | 109 (6%) | 6.36 | 4.90 – 8.25 | 383 (21%) | 1.53 | 1.24 – 1.88 |
| Any of the Above | 409 (66%) | 253 (14%) | 12.1 | 9.8 – 15.0 | 1269 (49%) | 2.18 | 1.82 – 2.57 |
| Any Outpatient Visit for any Diag. | 564 (91%) | 1355 (73%) | 3.57 | 2.67 – 4.76 | 1685 (91%) | 0.97 | 0.71 – 1.33 |
| 24 Months Prior to Diagnosis | n=523 | n=1471 | n=1493 | ||||
| Hospitalization with MH Diagnosis | 56 (11%) | 15 (1%) | 11.6 | 6.5 – 20.8 | 54 (4%) | 3.19 | 2.17 – 4.71 |
| Emerg. Dept. w/MH Diagnosis | 158 (30%) | 50 (3%) | 12.3 | 8.8 – 17.3 | 179 (12%) | 3.18 | 2.49 – 4.05 |
| Specialty MH Outpatient Visit | 174 (33%) | 90 (16%) | 7.65 | 5.78 – 10.1 | 348 (23%) | 1.64 | 1.32 – 2.04 |
| Prim. Care Visit w/MH Diagnosis | 181 (35%) | 131 (9%) | 5.41 | 4.20 – 6.98 | 374 (25%) | 1.58 | 1.28 – 1.96 |
| Any of the Above | 378 (72%) | 306 (21%) | 9.93 | 7.89 – 12.5 | 917 (50%) | 1.96 | 1.62 – 2.37 |
| Any Outpatient Visit for any Diag. | 511 (98%) | 1341 (91%) | 4.13 | 2.27 – 7.52 | 1451 (97%) | 1.23 | 0.64 – 2.36 |
| 36 Months Prior to Diagnosis | n=461 | n=1316 | n=1318 | ||||
| Hospitalization with MH Diagnosis | 58 (13%) | 18 (1%) | 10.4 | 6.0 – 17.8 | 53 (4%) | 3.43 | 2.33 – 5.07 |
| Emerg. Dept. w/MH Diagnosis | 153 (33%) | 60 (5%) | 10.4 | 7.5 – 14.4 | 166 (13%) | 3.45 | 2.68 – 4.44 |
| Specialty MH Outpatient Visit | 174 (38%) | 103 (8%) | 7.14 | 5.40 – 9.40 | 335 (25%) | 1.78 | 1.42 – 2.23 |
| Prim. Care Visit w/MH Diagnosis | 166 (36%) | 138 (11%) | 4.80 | 3.71 – 6.23 | 335 (25%) | 1.78 | 1.42 – 2.23 |
| Any of the Above | 342 (74%) | 326 (25%) | 8.73 | 6.84 – 11.1 | 800 (61%) | 1.86 | 1.47 – 2.36 |
| Any Outpatient Visit for any Diag. | 456 (99%) | 1257 (96%) | 4.28 | 1.71 – 10.7 | 1297 (98%) | 1.48 | 0.55 – 3.94 |