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Utilization of Mental Health Services After Mild Pediatric Traumatic Brain Injury.
- Source :
-
Pediatrics . Mar2017, Vol. 139 Issue 3, p1-8. 8p. - Publication Year :
- 2017
-
Abstract
- BACKGROUND: Mild traumatic brain injury injuries (mTBIs), including concussions, represent >2 million US pediatric emergency department visits annually. Post-mTBI mental health symptoms are prominent and often attributed to the mTBI. This study examined whether individuals seeking post-mTBI mental health care had previous mental health diagnoses or a new onset of such disorders, and determined if mental health care utilization differed by race/ethnicity. METHODS: Retrospective cohort study, using the Medicaid Marketscan claims national dataset (2007-2012). Utilization of mental health services 1 year before and 1 year after mTBI was compared between children with and without mental health diagnoses before injury. Primary outcome was receipt of post-mTBI outpatient mental health care. RESULTS: A total of 31272 children 20 years or younger were included, 8577 (27%) with mental health diagnoses before their mTBI and 22 695 without one. After injury, children without previous mental health disorders increased mental health services utilization; however, most (86%) postinjury mental health care was received by children with previous mental health disorders. Having a mental health diagnosis pre-mTBI was the most important risk factor for receiving post-mTBI mental health care (odds ratio 7.93, 95% confidence interval 7.40-8.50). Hispanic children were less likely to receive post-mTBI mental health care. CONCLUSIONS: mTBI was associated with increased utilization of mental health services but most of these services were received by children with previous mental health disorders. Our documentation of racial/ethnic disparities in mental health care utilization reemphasize the importance of providing individualized, culturally, and linguistically competent care to improve outcomes after mTBI for all children. [ABSTRACT FROM AUTHOR]
- Subjects :
- *COMPLICATIONS of brain injuries
*MINORITIES
*MENTAL health services
*CONFIDENCE intervals
*HEALTH services accessibility
*HEALTH status indicators
*LONGITUDINAL method
*MEDICAID
*MENTAL illness
*PROBABILITY theory
*RESEARCH funding
*HEALTH insurance reimbursement
*PSYCHOSOCIAL factors
*PRE-tests & post-tests
*RETROSPECTIVE studies
*DATA analysis software
*DESCRIPTIVE statistics
*ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 00314005
- Volume :
- 139
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 121669114
- Full Text :
- https://doi.org/10.1542/peds.2016-2462