Table 2.
Mental Health Encounter Characteristics, 2016–2018
| Variable | No. (%) | |||
|---|---|---|---|---|
| All N = 19,270 |
Psychiatry N = 4165 |
Urgent care N = 4276 |
Therapy N = 10,828 |
|
| Encounter characteristics | ||||
| Number of encounters, by year, N (%) | ||||
| 2016 | 1791 (9.3) | 126 (3.0) | 903 (21.1) | 762 (7.0) |
| 2017 | 8744 (45.4) | 2093 (50.2) | 2186 (51.1) | 4464 (41.2) |
| 2018* | 8735 (45.3) | 1946 (46.8) | 1187 (27.8) | 5602 (51.7) |
| Encounter timing, N (%) | ||||
| After hours† | 10,094 (52.4) | 2873 (69.0) | 2276 (53.2) | 4945 (45.7) |
| Wait time (min), median (IQR) | 2.8 (1.3–6.2) | 3.1 (1.4–6.3) | 3.5 (1.7–8.3) | 2.4 (1.1–5.6) |
| Encounter length (min), median (IQR) | 36.9 (9.2–48.7) | 15.7 (9.3–30.5) | 6.2 (3.8–10.0) | 46.9 (41.5–53.3) |
| Patient out-of-pocket cost for visit ($), median (IQR) | 25.0 (0.0–79.0) | 90.0 (0.0–145.0) | 39.0 (1.0–59.0) | 20.0 (0.0–79.0) |
| Coupon used, N (%) | 2657 (13.8) | 1313 (31.5) | 461 (10.8) | 883 (8.2) |
| Prescription received, N (%) | 6076 (31.5) | 3133 (75.2) | 2943 (68.8) | n/a |
| Referral given | 241 (1.3) | 87 (2.1) | 126 (3.0) | 28 (0.3) |
| Mental health diagnosis, N (%) | ||||
| Adjustment disorders | 4428 (23.0) | 118 (2.8) | 547 (12.8) | 3763 (34.8) |
| Anxiety disorders | 7543 (39.1) | 1716 (41.2) | 1847 (43.2) | 3980 (36.8) |
| PTSD/stress disorders | 977 (5.1) | 200 (4.8) | 41 (1.0) | 736 (6.8) |
| OCD | 304 (1.6) | 120 (2.9) | 17 (0.4) | 167 (1.5) |
| Depressive disorders | 6264 (32.5) | 2235 (53.7) | 937 (21.9) | 3092 (28.6) |
| Bipolar disorder | 1224 (6.4) | 654 (15.7) | 112 (2.6) | 458 (4.2) |
| Mood NOS disorders | 171 (0.9) | 8 (0.2) | 33 (0.8) | 130 (1.2) |
| ADHD | 689 (3.6) | 277 (6.7) | 106 (2.5) | 306 (2.8) |
| Nicotine use disorder | 352 (1.8) | 5 (0.1) | 326 (7.6) | 21 (0.2) |
| Alcohol use disorder | 311 (1.6) | 92 (2.2) | 38 (0.9) | 181 (1.7) |
| Substance use disorders | 219 (1.1) | 62 (1.5) | 53 (1.2) | 104 (1.0) |
| Sleep disorders | 214 (1.1) | 42 (1.0) | 147 (3.4) | 25 (0.2) |
| Schizophrenia/psychotic disorders | 66 (0.3) | 42 (1.0 | 1 (0.0) | 23 (0.2) |
| Sexual disorders | 62 (0.3) | 0 (0.0) | 50 (1.2) | 12 (0.1) |
| Two or more mental health diagnoses received, N (%) | 3538 (18.4) | 1204 (28.9) | 234 (5.5) | 2100 (19.4) |
| Patient rating of provider, mean (SD) | 4.9 (0.5) | 4.9 (0.4) | 4.8 (0.8) | 4.9 (0.4) |
| Where patients would have sought care otherwise, N (%) | ||||
| Emergency department | 206 (1.1) | 35 (0.8) | 116 (2.7) | 55 (0.5) |
| Doctor’s office | 3362 (17.5) | 1069 (25.7) | 1045 (24.4) | 1248 (11.5) |
| Urgent care/retail clinic | 1050 (5.4) | 121 (2.9) | 741 (17.3) | 188 (1.7) |
| Done nothing | 7633 (39.6) | 1559 (37.4) | 907 (21.2) | 5166 (47.7) |
| Other | 7019 (36.4) | 1381 (33.2) | 1467 (34.3) | 4171 (38.5) |
Abbreviations: PTSDpost-traumatic stress disorder, OCDobsessive-compulsive disorder, NOS not otherwise specified, ADHD attention-deficit/hyperactivity disorder
*2018 volumes are truncated, including only up to July 2018
†After-hours encounter timing refers to encounters that occur during the weekend or outside of traditional business hours (7 a.m.–5 p.m.) during the week
n/a = Not Applicable