Second-generation antipsychotic use among stimulant-using children, by organization of medicaid mental health.

ABSTRACT:

Objective

Reducing overuse of second-generation antipsychotics among Medicaid-enrolled children is a national priority, yet little is known about how service organization affects use. This study compared differences in second-generation antipsychotic utilization among Medicaid-enrolled children across fee-for-service, integrated managed care, and managed behavioral health carve-out organizational structures.

Methods

Organizational structures of Medicaid programs in 82 diverse counties in 34 states were categorized and linked to child-level cross-sectional claims data from the Medicaid Analytic Extract covering fiscal years 2004, 2006, and 2008. To approximate the population at risk of antipsychotic treatment, the sample was restricted to stimulant-using children ages three t

SUBMITTER: Saloner B 

PROVIDER: S-EPMC4757898 | biostudies-literature | 2014 Dec

REPOSITORIES: biostudies-literature