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Published Online: 25 April 2023

Retrospective State Medicaid Claims Analysis of Children and Adults With Obsessive-Compulsive Disorder

Sapana R. Patel, Ph.D. [email protected], Gabrielle R. Messner, B.A., Marleen Radigan, Dr.P.H., Yi Sang, Ph.D., Rui Wang, M.S., Gyojeong Gu, M.A., Robert W. Myers, Ph.D., Lisa B. Dixon, M.D., M.P.H., and H. Blair Simpson, M.D., Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 74, Number 11
https://doi.org/10.1176/appi.ps.20220152
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Abstract

Objective:

With a lifetime U.S. prevalence of 2.3%, obsessive-compulsive disorder (OCD) is a chronic condition often producing reduced quality of life and disability when left untreated. Little is known about the prevalence or treatment of diagnosed OCD in public behavioral health systems.

Methods:

Using a claims analysis of 2019 New York State Medicaid data (N=2,245,084 children; N=4,274,100 adults), the authors investigated the prevalence and characteristics of children and adults with OCD. The authors also examined whether these individuals received treatment with medication or psychotherapy.

Results:

The prevalence of OCD was 0.2% among children and 0.3% among adults. Fewer than half of children (40.0%) and adults (37.5%) received U.S. Food and Drug Administration–approved medications (with or without psychotherapy); another 19.4% of children and 11.0% of adults received 45- or 60-minute psychotherapy alone.

Conclusions:

These data demonstrate the need for public behavioral health systems to increase their capacity to identify and treat OCD.

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Supplementary Material

File (appi.ps.20220152.ds001.pdf)

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Volume 74 • Number 11 • November 01, 2023
Pages: 1185 - 1188
PubMed: 37096356

History

Received: 15 March 2022
Revision received: 13 October 2022
Revision received: 27 January 2023
Accepted: 24 February 2023
Published online: 25 April 2023
Published in print: November 01, 2023

Keywords

  1. Prevalence
  2. Medicaid
  3. Obsessive-compulsive disorder
  4. Treatment
  5. Serotonin reuptake inhibitor

Authors

Details

Sapana R. Patel, Ph.D. [email protected]
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City (Patel, Messner, Dixon, Simpson); Research Foundation for Mental Hygiene, New York State Psychiatric Institute, New York City (Patel, Dixon, Simpson); New York State Office of Mental Health, Albany (Radigan, Sang, Wang, Gu, Myers).
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Gabrielle R. Messner, B.A.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City (Patel, Messner, Dixon, Simpson); Research Foundation for Mental Hygiene, New York State Psychiatric Institute, New York City (Patel, Dixon, Simpson); New York State Office of Mental Health, Albany (Radigan, Sang, Wang, Gu, Myers).
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Marleen Radigan, Dr.P.H.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City (Patel, Messner, Dixon, Simpson); Research Foundation for Mental Hygiene, New York State Psychiatric Institute, New York City (Patel, Dixon, Simpson); New York State Office of Mental Health, Albany (Radigan, Sang, Wang, Gu, Myers).
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Yi Sang, Ph.D.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City (Patel, Messner, Dixon, Simpson); Research Foundation for Mental Hygiene, New York State Psychiatric Institute, New York City (Patel, Dixon, Simpson); New York State Office of Mental Health, Albany (Radigan, Sang, Wang, Gu, Myers).
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Rui Wang, M.S.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City (Patel, Messner, Dixon, Simpson); Research Foundation for Mental Hygiene, New York State Psychiatric Institute, New York City (Patel, Dixon, Simpson); New York State Office of Mental Health, Albany (Radigan, Sang, Wang, Gu, Myers).
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Gyojeong Gu, M.A.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City (Patel, Messner, Dixon, Simpson); Research Foundation for Mental Hygiene, New York State Psychiatric Institute, New York City (Patel, Dixon, Simpson); New York State Office of Mental Health, Albany (Radigan, Sang, Wang, Gu, Myers).
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Robert W. Myers, Ph.D.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City (Patel, Messner, Dixon, Simpson); Research Foundation for Mental Hygiene, New York State Psychiatric Institute, New York City (Patel, Dixon, Simpson); New York State Office of Mental Health, Albany (Radigan, Sang, Wang, Gu, Myers).
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Lisa B. Dixon, M.D., M.P.H.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City (Patel, Messner, Dixon, Simpson); Research Foundation for Mental Hygiene, New York State Psychiatric Institute, New York City (Patel, Dixon, Simpson); New York State Office of Mental Health, Albany (Radigan, Sang, Wang, Gu, Myers).
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H. Blair Simpson, M.D., Ph.D.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City (Patel, Messner, Dixon, Simpson); Research Foundation for Mental Hygiene, New York State Psychiatric Institute, New York City (Patel, Dixon, Simpson); New York State Office of Mental Health, Albany (Radigan, Sang, Wang, Gu, Myers).
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Notes

Send correspondence to Dr. Patel ([email protected]). Dr. Dixon is editor of Psychiatric Services. Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.

Competing Interests

In the past 3 years, Dr. Simpson has received research support from Biohaven, royalties from Cambridge University Press and UpToDate, and a stipend from the American Medical Association for serving as the associate editor of JAMA Psychiatry. The other authors report no financial relationships with commercial interests.

Funding Information

This work was supported by the New York State Office of Mental Health.

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