caa a22 4500 445320664 CHVBK 20180317142702.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s10488-011-0336-1 doi (NATIONALLICENCE)springer-10.1007/s10488-011-0336-1 Changes in Psychotherapy Utilization Among Consumers of Services for Major Depressive Disorder in the Community Mental Health System [Elektronische Daten] [Mary Connolly Gibbons, Aileen Rothbard, Kimberly Farris, Shannon Wiltsey Stirman, Sarah Thompson, Kelli Scott, Laura Heintz, Robert Gallop, Paul Crits-Christoph] The goal of this investigation was to explore changes in psychotherapy utilization for patients with major depressive disorder (MDD) treated in community mental health agencies across two cohorts. We used a Medicaid claims database including approximately 300,000 public sector clients. Although the use of psychotherapy alone showed a small decrease, there was a large increase in the use of combined medication and psychotherapy as a treatment for MDD. Race was a significant predictor of both treatment type received and length of treatment. African American consumers were more likely to receive psychotherapy alone than combined treatment and attended significantly fewer psychotherapy sessions. Springer Science+Business Media, LLC, 2011 Depression nationallicence Psychotherapy nationallicence Racial disparities nationallicence Community mental health system nationallicence Connolly Gibbons Mary Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, 19104, Philadelphia, PA, USA aut Rothbard Aileen School of Social Policy and Practice & Center for Mental Health Policy and Services Research, University of Pennsylvania, Philadelphia, PA, USA aut Farris Kimberly Behavioral and Social Health Outcomes Program, US Army Public Health Command (Formerly the Center for Health Promotion and Preventive Medicine), Aberdeen Proving Ground, MD, USA aut Wiltsey Stirman Shannon Division of Psychiatry, Boston University, Boston, MA, USA aut Thompson Sarah Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, 19104, Philadelphia, PA, USA aut Scott Kelli Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, 19104, Philadelphia, PA, USA aut Heintz Laura Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, 19104, Philadelphia, PA, USA aut Gallop Robert Department of Mathematics, West Chester University, West Chester, PA, USA aut Crits-Christoph Paul Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, 19104, Philadelphia, PA, USA aut Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/6(2011-11-01), 495-503 0894-587X 38:6<495 2011 38 10488 https://doi.org/10.1007/s10488-011-0336-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10488-011-0336-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Connolly Gibbons Mary Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Rothbard Aileen School of Social Policy and Practice & Center for Mental Health Policy and Services Research, University of Pennsylvania, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Farris Kimberly Behavioral and Social Health Outcomes Program, US Army Public Health Command (Formerly the Center for Health Promotion and Preventive Medicine), Aberdeen Proving Ground, MD, USA aut NATIONALLICENCE 700 1- Wiltsey Stirman Shannon Division of Psychiatry, Boston University, Boston, MA, USA aut NATIONALLICENCE 700 1- Thompson Sarah Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Scott Kelli Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Heintz Laura Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Gallop Robert Department of Mathematics, West Chester University, West Chester, PA, USA aut NATIONALLICENCE 700 1- Crits-Christoph Paul Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 773 0- Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/6(2011-11-01), 495-503 0894-587X 38:6<495 2011 38 10488 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer