Video Abstracts -- brief videos summarizing key findings of new articlesScreening for Behavioral Health Issues in Children Enrolled in Massachusetts Medicaid
Article Figures & Data
Figures
- FIGURE 1
Derivation of the sample.
- FIGURE 2
BH by age. *1, negative modifier; 3, screen no modifier; 4, well-child visit no screen; 5, no well-child visit and no screen.
Tables
- TABLE 1
Group Characteristics, n = 390 383 in FY 2009: Percent
Characteristica Total Groups 1–6, n = 390 383 Group 1 Negative Modifier,bn = 115 443 Group 2 Positive Modifier, n = 15 673 Group 3 Screen Without Modifier, n = 31 134 Group 4 Well-Child Visit Without Screen, n = 92 473 Group 5 No Well-Child Visit or Screen, n = 100 767 Group 6 No Encounters or Claims, n = 34 893 Gender Male 51.4 49.9 60.8 50.9 51.2 51.9 51.7 Female 48.6 50.1 39.2 49.1 48.8 48.1 48.3 Age, y <5 31.7 41.2 35.3 37.3 37.3 15.7 20.8 5–7 17.6 17.0 18.0 17.2 16.7 19.2 17.1 8–10 17.0 15.1 17.1 14.6 15.1 20.6 19.6 11–13 16.4 14.0 15.8 13.7 14.8 20.3 20.5 14–16 17.4 12.8 13.7 12.5 16.2 24.2 22.1 Mean (SD) 7.79 (4.9) 6.70 (5.0) 7.29 (4.8) 6.64 (4.9) 7.30 (5.02) 9.51 (4,4) 9.08 (4.6) Race/ethnicity White 28.0 28.6 31.4 25.2 27.9 28.7 25.7 Asian 3.5 3.4 1.4 3.8 4.4 3.1 3.2 African American 9.2 7.9 8.2 11.2 10.2 9.3 9.1 Hispanic 16.9 17.5 20.2 19.5 15.6 16.7 15.2 Native American 0.2 0.2 0.1 0.1 0.2 0.2 0.1 Multiracial 2.5 2.7 3.0 2.8 2.8 2.4 1.4 Unknown 39.7 39.8 35.8 37.4 39.0 39.7 45.2 Urban (n = 386 101) 97.3 97.2 97.5 99.0 97.4 96.8 97.0 Foster care: yes 1.3 1.3 3.2 1.0 1.5 1.4 0.2 ≥300 d of eligibility in FY 2008 73.1 78.2 83.7 79.1 79.1 83.4 Not applicable Well-child visit in FY 2009 70.7 98.1 96.8 97.9 100 0 0 - TABLE 2
BH History (n=285 244): Percent
Characteristica All, n = 285 244 Group 1 Negative Modifier,bn = 90 289 Group 2 Positive Modifier, n = 13 124 Group 3 Screen Without Modifier, n = 24 629 Group 4 Well-Child Visit Without Screen, n = 73 182 Group 5 No Well-Child Visit or Screen, n = 84 020 Any history (includes all of the following) 29.3 26.7 61.2 26.2 29.3 28.2 Psychopharmacology 7.4 5.2 16.5 4.8 7.4 9.1 Previous psychiatric visitc 14.5 13.1 35.6 10.8 14.6 13.8 Previous health or behavioral assessmentd 2.9 2.8 8.6 2.9 3.4 1.7 Previous nonphysician mental health visite 4.8 4.2 10.8 5.3 5.2 3.9 Any mental health diagnosis (ICD-9-CM 290–319) 26.5 24.3 57.7 23.6 26.7 24.6 ↵a P < .0001 for all characteristics using χ2 statistics.
↵b Modifier used to code whether a BH issue was or was not identified.
↵c Claims with CPT codes 90801–90899.
↵d CPT codes 96100–96103, 96105, 96111, 96115–96120, 96125, 96150–96155.
↵e Healthcare Common Procedural H codes plus S9484 and S9485 (crisis intervention) and T1027, T1017, and T2022 codes (family counseling and case management).
- TABLE 3
Comparisons of Children With Positive Modifiers,a With and Without BH History (n = 13 124): Percent
Characteristicb Positive Modifier No History, n = 5097 (38.8) Positive Modifier With History, n = 8013 (61.1) Gender Male 55.5 64.6 Female 44.5 35.4 Age, y <5 38.6 24.0 5–7 y 21.1 18.5 8–10 13.9 21.3 11–13 14.4 19.0 14–16 12.1 17.2 Mean (SD) 6.9 (4.6) 8.5 (4.5) Race/ethnicity White 25.5 36.2 Asian 2.0 1.0 Black 8.5 7.8 Hispanic 23.3 19.0 Native American 0.1 0.2 Multiracial 2.9 3.4 Unknown 37.6 32.4 Urban (n = 13 018) 98.2 96.8 Foster care: yes 1.2 4.3 - TABLE 4
Predictors of Positive Modifiera on BH Screen in Children With Modifiers (n = 103 413)
Characteristic Odds Ratio 95% Confidence Interval Gender Female 1.00 Male 1.36 1.31–1.42 Age, y <5 1.00 5–7 1.09 1.03–1.15 8–10 1.00 0.95–1.06 11–13 0.97 0.92–1.03 14–16 0.89 0.84–0.95 Race/ethnicityb White 1.00 Asian 0.88 0.78–0.99 Black 1.03 0.97–1.10 Hispanic 1.15 1.10–1.21 Native American 1.08 0.96–1.22 Multiracial 1.03 0.93–1.14 Rural 1.00 Urban 1.19 1.03–1.15 Foster care No 1.00 Yes 1.53 1.36–1.73 Previous BH history No 1.00 Yes 4.21 4.05–4.38
Data Supplement
Files in this Data Supplement:
