Table 1:
Total Episodes N=1,594,180 (100%) |
APM Initiators N=223,430 (14.0%) |
Non APM Initiators N=1,370,750 (86.0%) |
P(Chi-Square) | |||
---|---|---|---|---|---|---|
N | % | N | % | |||
DEMOGRAPHICa | ||||||
Sex | ||||||
Male | 351,141 | 70,172 | 31.4 | 280,969 | 20.5 | <.0001 |
Female | 1,243,018 | 153,257 | 68.6 | 1,089,761 | 79.5 | |
Age (mean, SD) | 35.9 (12.5) | 36.8 | 12.0 | 35.8 | 12.5 | |
Age | <.0001 | |||||
18-24 | 366,984 | 43,452 | 19.5 | 323,532 | 23.6 | |
25-34 | 436,432 | 56,920 | 25.5 | 379,512 | 27.7 | |
35-44 | 363,539 | 58,826 | 26.3 | 304,713 | 22.2 | |
45-54 | 271,765 | 45,373 | 20.3 | 226,392 | 16.5 | |
55-64 | 155,460 | 18,859 | 8.4 | 136,601 | 10.0 | |
Race Ethnicity | <.0001 | |||||
White, non-Hispanic | 847,429 | 109,183 | 48.9 | 738,246 | 53.9 | |
African American, non-Hispanic | 364,213 | 62,815 | 28.1 | 301,398 | 22.0 | |
Hispanic | 229,011 | 29,452 | 13.2 | 199,559 | 14.6 | |
other | 153,527 | 21,980 | 9.8 | 131,547 | 9.6 | |
Medicaid Eligibility | <.0001 | |||||
Disability | 602,389 | 114,774 | 51.4 | 487,615 | 35.6 | |
Low income | 644,988 | 67,520 | 30.2 | 577,468 | 42.1 | |
Other | 346,803 | 41,136 | 18.4 | 305,667 | 22.3 | |
Managed care (not FFS) | 608,939 | 73,106 | 32.7 | 535,833 | 39.1 | <.0001 |
CLINICAL&UTILIZATIONb | ||||||
Primary Depression dxc | 1,151,853 | 182,702 | 81.8 | 969,151 | 70.7 | <.0001 |
Major Depressive Disorderc | 515,680 | 116,569 | 52.2 | 399,111 | 29.1 | <.0001 |
Anxiety | 129,006 | 20,845 | 9.3 | 108,161 | 7.9 | <.0001 |
Substance use disorder | 179,800 | 36,817 | 16.5 | 142,983 | 10.4 | <.0001 |
Personality disorders | 5,827 | 1,552 | 0.7 | 4,275 | 0.3 | <.0001 |
Self-harm | 2,282 | 496 | 0.2 | 1,786 | 0.1 | <.0001 |
Diabetes | 130,165 | 17,016 | 7.6 | 113,149 | 8.3 | <.0001 |
Cardiovascular Disease | 276,154 | 38,711 | 17.3 | 237,443 | 17.3 | .9662 |
Cerebrovascular Disease | 26,636 | 3,981 | 1.8 | 22,655 | 1.7 | .0001 |
Psychotherapy | 42,795 | 6,942 | 3.1 | 35,853 | 2.2 | <.0001 |
MH ER visitd | <.0001 | |||||
No visit | 1,544,285 | 210,808 | 94.4 | 1,333,477 | 97.3 | |
1 to 2 visits | 46,140 | 11,657 | 5.2 | 34,483 | 2.5 | |
3 or more visits | 3,755 | 965 | 0.4 | 2,790 | 0.2 | |
MH hospital admissionsd | 15,888 | 5,087 | 2.3 | 10,801 | 0.8 | <.0001 |
MH outpatient visitsd | <.0001 | |||||
No visit | 1,312,994 | 167,919 | 75.2 | 1,145,075 | 83.5 | |
1 to 2 visits | 164266 | 30543 | 13.7 | 133723 | 133723 | 9.8 |
3 or more visits | 116920 | 24968 | 11.2 | 91952 | 91952 | 6.7 |
at index date;
during 180 baseline period including index date;
within Index date and index date+30 days;
primary diagnosis.
APM: antipsychotic medication; FFS: fee-for-service; MH: mental health; ER: emergency room