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Changes in Outpatient Psychiatric Diagnosis in Privately Insured Children and Adolescents from 1995 to 2000

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Abstract

This study examined changes in the diagnostic patterns among children and adolescents treated for mental health problems between the years 1995 and 2000. Using a large database (MarketScan®) which compiles claims information from private health insurance plans nationwide, our sample consisted of 100,716 children (under the age of 18) who submitted claims for outpatient mental health services, out of a total of 1,723,681 covered children. Over the five years period, there was a dramatic increase in the proportion of children diagnosed with both Autism and Bipolar disorders. An increase was also observed in Anxiety, ADHD and Depressive disorders. A decrease was observed in diagnostic prevalence of Oppositional, Adjustment and Substance Abuse disorders.

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REFERENCES

  1. Surgeon General's Report. Mental Health: A Report of the Surgeon General. 1999. U.S. Department of Health and Human Services, Office of the Surgeon General, SAMHSA.

  2. MacLeod RJ, McNamee JE, Boyle MH, Offord DR, Friedrich M: Identification of childhood psychiatric disorder by informant: comparisons of clinic and community samples. Can J Psychiatry 44:144–150, 1999.

    Google Scholar 

  3. Rice BJ, Woolston J, Stewart E, Kerker BD, Horwitz SM: Differences in younger, middle, and older children admitted to child psychiatric inpatient services. Child Psychiat Hum Develpm 32:241–261, 2002.

    Google Scholar 

  4. Baker HC: A comparison study of autism spectrum disorder referrals 1997 and 1989. J Autism Dev Disord 32:121–125, 2002.

    Google Scholar 

  5. Croen LA, Grether JK, Hoogstrate J, Selvin S: The changing prevalence of autism in California. J Autism Dev Disord 32:207–215, 2002.

    Google Scholar 

  6. Garrison CZ, Waller JL, Cuffe SP, McKeown RE, Addy CL, Jackson KL: Incidence of major depressive disorder and dysthymia in young adolescents. J Am Acad Child Adolesc Psychiatry 36:458–465, 1997.

    Google Scholar 

  7. Rushton JL, Clark SJ, Freed GL: Pediatrician and family physician prescription of selective serotonin reuptake inhibitors. Pediatrics 105:E82, 2000.

    Google Scholar 

  8. Walkup J, Labellarte M: Complications of SSRI treatment. J Child Adolesc Psychopharmacol 11:1–4, 2001.

    Google Scholar 

  9. Kim EY, Miklowitz DJ: Childhood mania, attention deficit hyperactivity disorder and conduct disorder: a critical review of diagnostic dilemmas. Bipolar Disord 4:215–225, 2002.

    Google Scholar 

  10. Gillberg C, Wing L: Autism: not an extremely rare disorder. Acta Psychiatr Scand 99:399–406, 1999.

    Google Scholar 

  11. DeBar LL, Clarke GN, O'Connor E, Nichols GA: Treated prevalence, incidence, and pharmacotherapy of child and adolescent mood disorders in an HMO. Ment Health Serv Res 3:73–89, 2001.

    Google Scholar 

  12. DeVane CL, Sallee FR: Serotonin selective reuptake inhibitors in child and adolescent psychopharmacology: a review of published experience. J Clin Psychiatry 57:55–66, 1996.

    Google Scholar 

  13. Pine DS: Treating children and adolescents with selective serotonin reuptake inhibitors: how long is appropriate? J Child Adolesc Psychopharmacol 12:189–203, 2002.

    Google Scholar 

  14. Soutullo CA, DelBello MP, Ochsner JE, McElroy SL, Taylor SA, Strakowski SM, Keck PE, Jr.: Severity of bipolarity in hospitalized manic adolescents with history of stimulant or antidepressant treatment. J Affect Disord 70:323–327, 2002.

    Google Scholar 

  15. National Institute of Mental Health Research Roundtable on Prepubertal Bipolar Disorder. [Article] J Am Acad Child Adolesc Psychiatry 40:871–878, 2001.

    Google Scholar 

  16. Leslie DL, Rosenheck RA, Horwitz SM: Patterns of mental health utilization and costs among children in a privately insured population. Health Serv Res 36:113–127, 2001.

    Google Scholar 

  17. Birmaher B, Ryan ND, Williamson DE, Brent DA, Kaufman J: Childhood and adolescent depression: a review of the past 10 years. Part II. J Am Acad Child Adolesc Psychiatry 35:1575–1583, 1996.

    Google Scholar 

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Correspondence to Ilan Harpaz-Rotem.

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Harpaz-Rotem, I., Rosenheck, R.A. Changes in Outpatient Psychiatric Diagnosis in Privately Insured Children and Adolescents from 1995 to 2000. Child Psychiatry Hum Dev 34, 329–340 (2004). https://doi.org/10.1023/B:CHUD.0000020683.08514.2d

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  • DOI: https://doi.org/10.1023/B:CHUD.0000020683.08514.2d

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