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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
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