Table 2:
Receipt of adequate treatment in the acute phase of care among Medicaid-enrolled youth (age 5 to 17 years old) diagnosed with a new episode of major depression, by race/ethnicity
Total N=45,816 | Non-Hispanic White n=22,464 | Non-Hispanic Black n=12,836 | Hispanic n=7,811 | Non-Hispanic Other n=430 | Unknown n=2,275 | |
---|---|---|---|---|---|---|
Psychotherapy | ||||||
Any psychotherapy visit | 68.6 | 73.4 | 58.1*** | 73.0 | 56.3*** | 67.7*** |
≥ 4 visits (of those that had any, n=31,408) | 55.9 | 57.6 | 53.0*** | 55.3** | 54.1 | 54.3* |
≥ 8 visits (of those that had any, n=31,408) | 22.9 | 24.4 | 23.4 | 17.7*** | 24.4 | 22.9 |
Minimally adequate psychotherapy (≥ 4 visits) | 38.3 | 42.2 | 30.7*** | 40.4** | 30.5*** | 36.8*** |
Minimally adequate psychotherapy, version 2 (≥ 8 visits) | 15.7 | 17.9 | 13.6*** | 12.9*** | 13.7* | 15.5** |
Pharmacotherapy | ||||||
Any antidepressant medication prescription | 43.2 | 44.9 | 36.8*** | 47.7*** | 40.0* | 47.0 |
Filled medication for ≥ 84 days (of those that had any, n=19,770) | 44.6 | 48.6 | 37.6*** | 42.0*** | 43.0 | 46.6 |
Minimally adequate pharmacotherapy (≥ 84 days) | 19.2 | 21.8 | 13.8*** | 20.0*** | 17.2* | 21.9 |
Any Adequate Treatment | ||||||
Minimally adequate psychotherapy (≥ 4 visits) and/or pharmacotherapy | 49.9 | 55.1 | 39.4*** | 52.3*** | 41.6*** | 50.7*** |
Minimally adequate psychotherapy (≥ 8 visits) and/or pharmacotherapy | 31.6 | 35.7 | 25.0*** | 30.1*** | 27.4*** | 34.3 |
No treatment with either psychotherapy or pharmacotherapy | 16.4 | 12.3 | 27.0*** | 10.6*** | 27.9*** | 15.5*** |
N=45,816 unless otherwise noted
p<0.05,
p<0.01,
p<0.001
Statistical tests were conducted using adjusted Wald tests to compare youth in each racial/ethnic minority group to White youth.