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Clinical Characteristics and Outpatient Mental Health Service Use of Transition-Age Youth in the USA

Kathleen J. Pottick, Lynn A. Warner, Ann Vander Stoep, and Nelson M. Knight

The Journal of Behavioral Health Services & Research
March 2014
This study examines diagnostic and service utilization patterns of transition-age youth in outpatient care derived from the 2007 nationally representative Client/Patient Sample Survey. Comparisons between 1617, 1821, and 2225 year olds are highlighted. Among transition-age outpatients, the oldest youth had the highest rates of depression and bipolar disorder and co-occurring medical and substance use problems. Controlling for sociodemographic and clinical characteristics, 1821 year olds were less likely to receive individual therapy than 1617 year olds, but there were no age group differences in receipt of specialized therapy or psychotropic medication. Female gender and Hispanic ethnicity were positively associated with the number of services received and specialized service use, respectively; youth with private insurance were more likely than those with public insurance to receive psychotropic medication. Implications are discussed regarding access to and adequacy of services provided for young people in the critical transition to adulthood, especially with the implementation of the 2010 Affordable Care Act.

The article can be found here.

Kathleen J. Pottick, Lynn A. Warner, Ann Vander Stoep, and Nelson M. Knight. (2014). "Clinical Characteristics and Outpatient Mental Health Service Use of Transition-Age Youth in the USA." The Journal of Behavioral Health Services & Research, 41: 230-243.



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