title: Changes in psychotherapy utilization among consumers of services for major depressive disorder in the community mental health system.
abstract: The goal of this investigation was to explore changes in psychotherapy utilization for patients with major depressive disorder (MDD) treated in community mental health agencies across two cohorts. We used a Medicaid claims database including approximately 300,000 public sector clients. Although the use of psychotherapy alone showed a small decrease, there was a large increase in the use of combined medication and psychotherapy as a treatment for MDD. Race was a significant predictor of both treatment type received and length of treatment. African American consumers were more likely to receive psychotherapy alone than combined treatment and attended significantly fewer psychotherapy sessions.
authors.affiliation: Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, Philadelphia, PA 19104, USA.
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Connolly Gibbons
authors.forename: Aileen
authors.initials: A
authors.lastname: Rothbard
authors.forename: Kimberly D
authors.initials: KD
authors.lastname: Farris
authors.forename: Shannon
authors.initials: S
authors.lastname: Wiltsey Stirman
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Thompson
authors.forename: Kelli
authors.initials: K
authors.lastname: Scott
authors.forename: Laura E
authors.initials: LE
authors.lastname: Heintz
authors.forename: Robert
authors.initials: R
authors.lastname: Gallop
authors.forename: Paul
authors.initials: P
authors.lastname: Crits-Christoph
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000367:Age Factors; D000368:Aged; D000928:Antidepressive Agents / Q000627:therapeutic use*; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D003865:Major Depressive Disorder / Q000208:ethnology* / Q000628:therapy*; D005260:Female; D006801:Humans; D007345:Insurance Claim Review; D008297:Male; D008484:Medicaid; D008875:Middle Aged; D011613:Psychotherapy / Q000706:statistics & numerical data*; D012737:Sex Factors; D014481:United States; D055815:Young Adult
chemical_list: D000928:Antidepressive Agents