Table 2.
Changes in average weekly mental health and/or substance use disorder (MH/SUD) visits in the healthcare organization during COVID surge emergency and partial reopening compared to pre-pandemic, January–June 2020 (unadjusted).a
| Visit Characteristics | Jan 1st-March 10th,2020a (N of weeks = 10) Pre-pandemic |
March 25th-May 19th, 2020b (N of weeks = 8) COVID Surge |
May 20th –June 30th, 2020b (N of weeks = 6) Partial Reopening |
||
|---|---|---|---|---|---|
| Mean ± SD | Mean ± SD | % change in mean vs. Pre- COVID | Mean ± SD | % change in mean vs. Pre- COVID | |
| Diagnosis Category | |||||
| Non-MH/SUD | 121,043.6 ± 10,763.7 | 74,750.67680.9 | −38.2 *** | 88,200.8 ± 8336.3 | −27.1 *** |
| MH/SUD | 8251.3 ± 784.4 | 8998.9 ± 573.5 | 9.1 * | 7256.5 ± 1001.5 | −12.1 |
| Substance use disorders | 908.6 ± 75.7 | 792.9 ± 70.9 | −12.7 ** | 625.8 ± 133.8 | −31.1 ** |
| MH | 7344.0 ± 714.6 | 8206.8 ± 506.0 | 11.7 * | 6631 0.0 ± 870.6 | −9.7 |
| Schizophrenia/bipolar disorders | 816.3 ± 86.3 | 918.5 ± 64.9 | 12.5 * | 725.0 ± 98.4 | −11.2 |
| Anxiety disorders | 2532.4 ± 250.0 | 3146.2 ± 164.0 | 24.2 *** | 2436.0 ± 320.0 | −3.8 |
| Depressive disorders | 2105.2 ± 193.4 | 2257.6 ± 149.5 | 7.2 | 1832.7 ± 274.9 | −12.9 |
| Other disorders | 1428.2 ± 153.1 | 1479.2 ± 115.5 | 3.6 | 1258.3 ± 157.1 | −11.9 |
| Race | |||||
| Hispanic | 817.2 ± 97.5 | 838.1 ± 42.3 | 2.6 | 547.5 ± 144.8 | −33.0 ** |
| Non-Hispanic White | 6403.6 ± 578.9 | 7076.5 ± 473.8 | 10.5 * | 5838.3 ± 751.8 | −8.8 |
| Non-Hispanic Black | 338.9 ± 38.5 | 337.8 ± 20.6 | −0.3 | 255.5 ± 35.7 | −24.6 ** |
| Non-Hispanic Other/Unknown/Refusedc |
691.6 ± 76.7 | 746.5 ± 55.3 | 7.9 | 615.2 ± 86.7 | −11.1 |
| Provider type | |||||
| MH/SUD specialist | 5079.4 ± 497.9 | 5304.5 ± 428.6 | 4.4 | 4484.3 ± 542.4 | −11.7 |
| Primary care provider | 1631.1 ± 165.5 | 2207.0 ± 146.0 | 35.3 *** | 1635.7 ± 313.7 | 0.3 |
| Other specialist | 1938.9 ± 190.0 | 1971.2 ± 62.9 | 1.7 | 1544.5 ± 213.7 | −20.3 ** |
| Insurance | |||||
| Commercial | 3867.0 ± 376.5 | 4073.6 ± 455.5 | 5.3 | 3630.7 ± 407.2 | −6.1 |
| Medicaid | 2337.4 ± 230.0 | 2343.0 ± 206.3 | 0.2 | 1883.5 ± 304.5 | −19.4 * |
| Medicare | 1527.1 ± 153.1 | 1566.1 ± 180.8 | 2.6 | 1208.7 ± 239.7 | −20.9 * |
| Otherd | 146.7 ± 16.9 | 103.5 ± 14.4 | −29.4 *** | 89.2 ± 11.1 | −39.2 *** |
| Unknown | 373.1 ± 40.2 | 912.6 ± 276.6 | 144.6 ** | 444.5 ± 66.4 | 19.1 |
*P < .05 **P < .01 ***P < .001.
Due to the COVID-19 pandemic, on March 16th, 2020 clinics at the hospital system closed for non-urgent in-person care. We excluded visits between 3/11/2020 and 3/24/2020 from analysis, because during this period in-person non-urgent visits were halted and healthcare system was deploying telehealth.
t-test was used to compare to pre-COVID-19 surge (Jan 1st – March 10th).
Other includes unknown and refused, which accounted for 2350 visits in 2018, 2573 visits in 2019 and 3165 visits in 2020.
Other includes other government programs, international insurance, free care, auto insurance, CHAMPUS-Tricare and Workers Compensation.