Skip to main content

Table 3 Bivariate comparison of service utilization and psychotropic prescription fills among veterans in community care treatment and mental health clinics only

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

General psychiatry visits

5.81

9.27

15.96

22.89

16.51

24.43

11.83

22.54

67.37

74.42

0.602

0.634

0.357

3.650

General psychiatry visits excluding community-based programs

5.81

9.27

10.60

20.01

8.04

19.65

6.00

16.69

15.98

28.61

0.389

0.181

0.016

0.826

Substance abuse clinic visits

0.90

7.91

7.76

25.47

8.08

26.01

8.31

24.94

7.17

25.34

0.515

0.539

0.556

0.471

Medical surgical visits

9.60

11.12

10.66

11.40

10.07

11.76

9.54

12.27

13.45

14.53

0.092

0.040

−0.006

0.334

 Primary care visits

3.43

3.50

4.02

3.86

3.93

4.24

3.27

3.96

4.71

5.08

0.156

0.134

−0.044

0.344

 Specialty medical clinic visits

6.17

9.35

6.64

9.40

6.14

9.52

6.26

10.16

8.74

12.12

0.049

−0.003

0.010

0.267

Emergency room visits

0.60

1.58

1.06

2.32

1.37

2.97

1.22

2.67

1.87

4.13

0.232

0.388

0.313

0.644

 

%

N

%

N

%

N

%

N

%

N

Risk Ratio

Any mental health inpatient treatment

2.8

32,134

8.0

1674

10.3

16,581

9.4

4029

25.2

7037

2.825

3.652

3.309

8.894

Any medical surgical inpatient treatment

7.9

90,143

8.7

1814

11.6

18,563

12.0

5154

14.3

4007

1.091

1.458

1.509

1.805

Psychotropic medication prescriptions

Mean

SD

Mean

SD

Mean

SD

Mean

SD

Mean

SD

Cohen d

 Antidepressant prescriptions

5.67

9.79

6.45

16.22

5.84

13.63

5.26

13.52

12.37

25.31

0.069

0.015

−0.037

0.595

Antipsychotic prescriptions

1.76

8.09

2.65

11.73

2.53

10.53

2.06

9.29

16.41

35.24

0.089

0.077

0.030

1.467

 Anxiolytic/sedative/hypnotic prescriptions

2.90

5.64

2.29

6.57

1.92

5.71

1.78

5.33

4.77

9.73

−0.104

−0.167

−0.192

0.318

 Stimulant prescriptions

0.16

1.28

0.20

3.52

0.10

1.74

0.10

1.38

0.13

1.32

0.024

−0.042

−0.042

−0.024

 Anticonvulsant/Mood Stabilizer Prescriptions

1.55

6.09

2.08

8.64

2.19

9.04

2.04

9.04

7.12

21.19

0.072

0.087

0.067

0.756

 Lithium prescriptions

0.13

1.65

0.25

2.51

0.21

2.51

0.18

2.18

1.47

9.95

0.052

0.033

0.022

0.577

 All Psychotropics

13.03

21.03

14.74

33.21

14.40

30.33

13.85

30.64

43.05

70.05

0.068

0.054

0.033

1.189

 Opiate Prescriptions

7.51

7.50

6.72

7.70

7.20

8.32

6.81

8.61

7.49

9.38

−0.101

−0.040

−0.090

−0.002

Intensive community treatment programs

Mean

SD

Mean

SD

Mean

SD

Mean

SD

Mean

SD

Cohen d

 SMI Services

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

46.58

67.38

n/a

n/a

n/a

n/a

 Criminal justice outreach, jail diversion visits

0.00

0.00

0.00

0.00

0.00

0.00

2.45

4.27

0.19

1.64

n/a

n/a

n/a

n/a

 Homelessness visits

0.00

0.00

0.00

0.00

7.49

10.95

2.70

8.45

3.30

10.08

n/a

n/a

n/a

n/a

 Vocational rehabilitation visits

0.00

0.00

5.36

9.63

1.54

5.93

1.03

5.05

1.56

6.08

n/a

n/a

n/a

n/a

Total intensive community treatment visits

0.00

0.00

5.36

9.63

9.04

13.41

6.18

12.46

51.63

68.38

n/a

n/a

n/a

n/a

Back to article page

BMC Public Health

ISSN: 1471-2458

Contact us