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Psychiatry

Impact of treatment-related discussions on healthcare resource use and costs among patients with severe mental illness

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Pages 1799-1809 | Received 04 Feb 2021, Accepted 11 Jun 2021, Published online: 23 Jul 2021

Figures & data

Figure 1. Patient selection and attrition. *All patients with a diagnosis of schizophrenia identified in the claims data (n = 77) were included in this selection. The remaining sample was selected from patients with a diagnosis of bipolar disorder (n = 120) or major depression (n = 103). Abbreviations: BH = behavioral health.

Figure 1. Patient selection and attrition. *All patients with a diagnosis of schizophrenia identified in the claims data (n = 77) were included in this selection. The remaining sample was selected from patients with a diagnosis of bipolar disorder (n = 120) or major depression (n = 103). Abbreviations: BH = behavioral health.

Table 1. Patient demographic and clinical characteristics from claims data.

Table 2. Characteristics of abstracted office visits occurring after the first post-index visit.

Figure 2. Number among all visits with medication compliance discussions, using specific or nonspecific terms, by the presence of first-visit compliance discussiona. aCompliance discussion = observation of general or specific words in the medical chart that indicate that discussion of medication-taking behavior was observed

Figure 2. Number among all visits with medication compliance discussions, using specific or nonspecific terms, by the presence of first-visit compliance discussiona. aCompliance discussion = observation of general or specific words in the medical chart that indicate that discussion of medication-taking behavior was observed

Figure 3. Proportion among all visits with non-medication treatment compliance, using specific or nonspecific terms, by the presence of first-visit medication compliance discussiona. aCompliance discussion = observation of general or specific words in the medical chart that indicate that discussion of medication-taking behavior was observed

Figure 3. Proportion among all visits with non-medication treatment compliance, using specific or nonspecific terms, by the presence of first-visit medication compliance discussiona. aCompliance discussion = observation of general or specific words in the medical chart that indicate that discussion of medication-taking behavior was observed

Table 3. Behavioral health-related healthcare resource utilization.

Table 4. Behavioral health-related healthcare costs.

Table 5. Cox proportional hazards analysis of time to first behavioral health-related inpatient admission or emergency room visit.

Table A1. Diagnosis codes used to identify schizophrenia, bipolar disorders, and major depressive disorder.

Data availability statement

Our database contains elements proprietary to Optum that cannot be disclosed publicly. Disclosure of data assumes data security and privacy protocols and a standard license agreement that possesses restrictive covenants about use of data.