Table 1. Mental Health Service Utilization Rates by Mode of Service Delivery.
| Diagnostic group | Utilization rate, mean (SD)a | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| In-person | Telehealth | Total | |||||||
| Pre–COVID-19 | Post–COVID-19 | Difference, % | Pre–COVID-19 | Post–COVID-19 | Difference, % | Pre–COVID-19 | Post–COVID-19 | Difference, % | |
| Major depressive disorder | 16.97 (2.04) | 7.24 (0.69) | −57.3 | 0.61 (1.03) | 11.13 (0.97) | 1724.6 | 17.59 (1.07) | 18.37 (1.38) | 4.4 |
| Anxiety disorders | 22.24 (2.69) | 9.95 (0.95) | −55.3 | 1.04 (1.71) | 16.59 (1.49) | 1495.2 | 23.28 (1.08) | 26.54 (2.19) | 14.0 |
| Bipolar disorder | 4.67 (0.53) | 2.24 (0.28) | −52.0 | 0.16 (0.29) | 3.24 (0.26) | 1925.0 | 4.83 (0.27) | 5.48 (0.42) | 13.5 |
| Adjustment disorders | 21.46 (2.77) | 9.73 (0.97) | −54.7 | 0.74 (1.32) | 14.30 (1.47) | 1832.4 | 22.20 (1.53) | 24.03 (2.21) | 8.2 |
| PTSD | 3.79 (0.42) | 1.64 (0.14) | −56.7 | 0.14 (0.25) | 2.54 (0.24) | 1714.3 | 3.93 (0.18) | 4.18 (0.32) | 6.4 |
Abbreviation: PTSD, posttraumatic stress disorder.
a
The pre–COVID-19 service utilization rate was defined as weekly beneficiaries receiving services for mental health conditions per 10 000 enrollees from January 5 through March 12, 2020. The post–COVID-19 service utilization rate was defined as weekly beneficiaries receiving services for mental health conditions per 10 000 enrollees from March 13 through December 21, 2020. Standard deviations represent week-over-week variation within the period of interest.