Journal article
Utilization of Mental Health Services After Mild Pediatric Traumatic Brain Injury
Pediatrics (Evanston), v 139(3), pe20162462
01 Mar 2017
PMID: 28159872
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUND: Mild traumatic brain injury injuries (mTBIs), including concussions, represent >2 million US pediatric emergency department visits annually. Post-mTBI mental health symptoms are prominent and often attributed to the mTBI. This study examined whether individuals seeking post-mTBI mental health care had previous mental health diagnoses or a new onset of such disorders, and determined if mental health care utilization differed by race/ethnicity.
METHODS: Retrospective cohort study, using the Medicaid Marketscan claims national dataset (2007-2012). Utilization of mental health services 1 year before and 1 year after mTBI was compared between children with and without mental health diagnoses before injury. Primary outcome was receipt of post-mTBI outpatient mental health care.
RESULTS: A total of 31 272 children 20 years or younger were included, 8577 (27%) with mental health diagnoses before their mTBI and 22 695 without one. After injury, children without previous mental health disorders increased mental health services utilization; however, most (86%) postinjury mental health care was received by children with previous mental health disorders. Having a mental health diagnosis pre-mTBI was the most important risk factor for receiving post-mTBI mental health care (odds ratio 7.93, 95% confidence interval 7.40-8.50). Hispanic children were less likely to receive post-mTBI mental health care.
CONCLUSIONS: mTBI was associated with increased utilization of mental health services but most of these services were received by children with previous mental health disorders. Our documentation of racial/ethnic disparities in mental health care utilization reemphasize the importance of providing individualized, culturally, and linguistically competent care to improve outcomes after mTBI for all children.
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Details
- Title
- Utilization of Mental Health Services After Mild Pediatric Traumatic Brain Injury
- Creators
- Nathalia Jimenez - Harborview Injury Prevention and Research CenterAlex Quistberg - Harborview Injury Prevention and Research CenterMonica S. Vavilala - University of WashingtonKenneth M. Jaffe - Harborview Injury Prevention and Research CenterFrederick P. Rivara - University of Washington
- Publication Details
- Pediatrics (Evanston), v 139(3), pe20162462
- Publisher
- Amer Acad Pediatrics
- Number of pages
- 8
- Grant note
- 1K23HD078453-02 / National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) 1U01CE002196 / Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA U01CE002196 / NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA National Institutes of Health (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA K23HD078453 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Environmental and Occupational Health
- Web of Science ID
- WOS:000395003200027
- Scopus ID
- 2-s2.0-85016037619
- Other Identifier
- 991021966465804721
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