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Table 2 Bivariate comparison of diagnoses of veterans in community care treatment and mental health clinics onlya

From: Social determinants of mental health care systems: intensive community based Care in the Veterans Health Administration

  Mental Health Clinic (1) Vocational (2) Homelessness (3) Criminal Justice (4) SMI Services (5) 2 vs 1 3 vs 1 4 vs 1 5 vs 1
N= 1,134,377 20,921 160,273 42,985 27,931 Effect Size
  Mean SD Mean SD Mean SD Mean SD Mean SD Cohen d
Multimorbidity
 Number of psychiatric diagnoses 1.79 1.11 1.87 1.42 1.60 1.49 1.43 1.53 2.62 1.483 0.067 −0.151 −0.294 0.688
 Number of SUD diagnoses 0.27 0.62 0.70 1.04 0.87 1.16 0.75 1.13 0.80 1.130 0.571 0.797 0.643 0.708
 Number of psychiatric and SUD diagnoses 2.05 1.33 2.56 1.91 2.47 2.18 2.18 2.27 3.42 2.068 0.332 0.272 0.084 0.885
 Charlson medical severity diagnosis index 2.81 2.44 1.96 1.99 2.32 2.16 2.45 2.53 2.80 2.185 −0.347 −0.199 −0.144 − 0.001
 Medical diagnosis % N % N % N % N % N Risk Ratio
 Insomnia 8.2 92,536 8.3 1736 6.6 10,592 6.3 2709 6.6 1830 1.017 0.810 0.773 0.803
 Congestive heart failure 48.7 552,483 47.4 9911 48.6 77,896 46.0 19,793 61.5 17,184 0.973 0.998 0.945 1.263
 Chronic obstructive pulmonary 14.8 167,951 12.5 2623 14.7 23,540 14.3 6165 19.4 5412 0.847 0.992 0.969 1.309
 Diabetes mellitus 23.3 264,173 16.7 3487 17.0 27,240 16.9 7283 27.0 7535 0.716 0.730 0.728 1.158
 Cancer 7.2 81,768 3.9 822 5.1 8208 6.2 2677 5.8 1619 0.545 0.710 0.864 0.804
 Human immunodeficiency virus 0.5 6226 1.4 287 1.5 2420 0.9 369 1.0 275 2.499 2.751 1.564 1.794
 Headache 9.5 107,605 12.0 2514 8.8 14,084 8.4 3610 10.5 2926 1.267 0.926 0.885 1.104
 Any pain 56.2 637,256 63.0 13,186 58.4 93,525 52.7 22,673 61.1 17,054 1.122 1.039 0.939 1.087
Psychiatric Diagnosis
 Any psychiatric disorder 92.2 1,045,820 85.9 17,972 78.2 125,382 68.4 29,403 99.4 27,757 0.932 0.849 0.742 1.078
 Schizophrenia 4.8 54,401 6.5 1367 6.3 10,148 3.9 1662 47.8 13,360 1.362 1.320 0.806 9.974
 Other psychotic disorder 2.5 28,651 3.8 801 4.4 7094 3.6 1529 13.9 3878 1.516 1.752 1.408 5.497
 Bipolar disorder 6.9 78,011 11.2 2333 9.0 14,406 7.5 3236 22.9 6395 1.622 1.307 1.095 3.329
 Major depressive disorder 21.1 239,616 22.9 4799 17.1 27,390 13.9 5987 26.9 7512 1.086 0.809 0.659 1.273
 Other depressive disorders (e.g., dysthymia) 43.7 495,951 44.9 9399 39.5 63,253 33.2 14,263 41.5 11,589 1.028 0.903 0.759 0.949
 PTSD 41.8 473,699 30.2 6323 24.7 39,653 25.4 10,937 34.8 9717 0.724 0.592 0.609 0.833
 Anxiety disorder 26.1 296,466 26.0 5447 19.8 31,672 18.8 8070 25.9 7238 0.996 0.756 0.718 0.992
 Adjustment disorder 10.2 115,639 13.4 2805 13.5 21,685 12.2 5245 10.0 2787 1.315 1.327 1.197 0.979
 Personality disorder 2.7 30,676 6.1 1283 5.9 9442 5.5 2375 11.5 3226 2.268 2.179 2.043 4.271
 Other psychiatric diagnosis 18.8 213,714 21.5 4506 20.2 32,454 19.2 8269 26.4 7367 1.143 1.075 1.021 1.400
 Dual diagnosis 19.0 215,937 39.2 8191 44.8 71,813 38.4 16,527 43.9 12,251 2.057 2.354 2.020 2.304
Substance Use Disorder
 Any substance use disorder 9.9 112,789 28.3 5917 35.5 56,838 29.5 12,662 33.5 9347 2.845 3.567 2.963 3.366
 Alcohol 13.8 156,291 29.5 6173 33.9 54,290 30.1 12,938 31.3 8732 2.142 2.459 2.185 2.269
 Cannabis 3.8 42,884 9.8 2057 11.9 19,030 10.1 4348 12.1 3378 2.601 3.141 2.676 3.199
 Cocaine 2.5 28,593 12.3 2565 17.7 28,334 13.1 5610 15.0 4201 4.864 7.014 5.178 5.967
 Opioid 3.9 44,190 13.0 2716 17.2 27,577 15.8 6797 15.9 4436 3.333 4.417 4.059 4.077
 Sedative/hypnotic 0.5 5127 1.2 241 1.4 2278 1.5 625 1.5 431 2.549 3.145 3.217 3.414
 Amphetamine 0.5 5969 1.7 352 2.6 4246 2.9 1244 2.2 627 3.198 5.035 5.500 4.266
  1. aNon-substantial differences involving less than 5% of the sample are not shown. Data available on request