Characterizing behavioral health-related emergency department utilization among children with Medicaid: Comparing high and low frequency utilizers
| Autor: | Sean Lynch, Judith L. Teich, Phyllis L. Hendry, Jesse M. Pines, Ryan Mutter |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Psychological intervention Logistic regression 03 medical and health sciences 0302 clinical medicine medicine Attention deficit hyperactivity disorder Humans 030212 general & internal medicine Child Retrospective Studies Community and Home Care 030505 public health Social work business.industry Medicaid Mental Disorders Infant Newborn Health related Infant Emergency department Patient Acceptance of Health Care medicine.disease United States Psychiatry and Mental health Family medicine Child Preschool Florida Female Substance use 0305 other medical science business Emergency Service Hospital |
| Zdroj: | Social work in health care. 58(8) |
| ISSN: | 1541-034X |
| Popis: | While the frequency of children's behavioral health (BH)-related visits to the emergency department (ED) is rising nationwide, few studies have examined predictors of high rates of ED use. This study examines Florida Medicaid claims (2011-2012) for children age 0-18 who were seen in an emergency department (ED) for behavioral health (BH) conditions. A logistic regression model was used to explore factors associated with frequent ED use and patterns of psychotropic medication utilization. The majority (95%) of patients with at least one BH-related ED visit had three or fewer of these visits, but 5% had four or more. Seventy-four percent of ED visits were not associated with psychotropic medication, including over half (54%) of visits for attention deficit hyperactivity disorder (ADHD). Frequent ED use was higher among older children and those with substance use disorders. The implementation of interventions that reduce non-emergent ED visits through the provision of care coordination, social work services, and/or the use of community health workers as care navigators may address these findings. |
| Databáze: | OpenAIRE |
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