TY - JOUR
KW - Diagnosis
KW - Mental Health Services
KW - PTSD
KW - primary care
AU - J. M. Cook
AU - J. E. Zeber
AU - V. Simiola
AU - R. Rossom
AU - J. F. Scherrer
AU - A. A. Owen-Smith
AU - B. K. Ahmedani
AU - K. Zolfaghari
AU - L. A. Copeland
A1 - 
AB - Posttraumatic stress disorder (PTSD) is a serious mental health disorder that may not be adequately detected or treated in primary care (PC). The purpose of this study was to compare the clinical characteristics and health care utilization of PTSD patients diagnosed in PC versus in specialty mental health care (MHC) across five large, civilian, not-for-profit healthcare systems. Electronic claims and medical record data on patients treated during 2014 were analyzed. Treatment was considered in terms of initiation and dose (i.e., psychotherapy sessions; pharmacotherapy-prescription psychotropics). Of 5256 patients aged 15-88 with a diagnosis of PTSD, 84.4% were diagnosed by a MHC provider. Patients diagnosed by MHC providers had 4 times the rate of and more enduring psychotherapy than those diagnosed by PC providers. Receipt of psychotropics varied by provider type, with generally higher prescription fill levels for patients in MHC. Strategies to better align patient needs with access and treatment modality in PC settings are needed.
AD - Yale School of Medicine, New Haven, CT, USA. Joan.Cook@yale.edu.; Department of Psychiatry, Yale School of Medicine, 300 George St #901, New Haven, CT, 06511, USA. Joan.Cook@yale.edu.; University of Massachusetts, Amherst, MA, USA.; Central Texas Veterans Health Care System, Tempe, TX, USA.; Kaiser Permanente, Center for Integrated Health Care Research, Honolulu, HI, USA.; Health Partners Institute, Bloomington, MN, USA.; Saint Louis University, Saint Louis, MO, USA.; Kaiser Permanente Center for Research and Evaluation, Atlanta, GA, USA.; Georgia State University School of Public Health, Atlanta, GA, USA.; Henry Ford Health System, Detroit, MI, USA.; Center for Applied Health Research, Baylor Scott & White Health, Dallas, TX, USA.; VA Central Western Massachusetts Healthcare System, Leeds, MA, USA.
BT - Journal of clinical psychology in medical settings
C5 - Healthcare Disparities
CY - United States
DO - 10.1007/s10880-020-09706-8
JF - Journal of clinical psychology in medical settings
M1 - Journal Article
N2 - Posttraumatic stress disorder (PTSD) is a serious mental health disorder that may not be adequately detected or treated in primary care (PC). The purpose of this study was to compare the clinical characteristics and health care utilization of PTSD patients diagnosed in PC versus in specialty mental health care (MHC) across five large, civilian, not-for-profit healthcare systems. Electronic claims and medical record data on patients treated during 2014 were analyzed. Treatment was considered in terms of initiation and dose (i.e., psychotherapy sessions; pharmacotherapy-prescription psychotropics). Of 5256 patients aged 15-88 with a diagnosis of PTSD, 84.4% were diagnosed by a MHC provider. Patients diagnosed by MHC providers had 4 times the rate of and more enduring psychotherapy than those diagnosed by PC providers. Receipt of psychotropics varied by provider type, with generally higher prescription fill levels for patients in MHC. Strategies to better align patient needs with access and treatment modality in PC settings are needed.
PP - United States
PY - 2020
SN - 1573-3572; 1068-9583
T1 - Comparisons Between Patients Diagnosed with PTSD in Primary Care Versus Mental Health Care in Five Large Civilian Health Care Systems
T2 - Journal of clinical psychology in medical settings
TI - Comparisons Between Patients Diagnosed with PTSD in Primary Care Versus Mental Health Care in Five Large Civilian Health Care Systems
U1 - Healthcare Disparities
U2 - 32048114
U3 - 10.1007/s10880-020-09706-8
VO - 1573-3572; 1068-9583
Y1 - 2020
Y2 - Feb 11
ER -