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Published Online: 1 June 2012

Change in Mental Health Service Use After Offering Youth-Specific Versus Adult Programs to Transition-Age Youths

Todd P. Gilmer, Ph.D. [email protected], Victoria D. Ojeda, Ph.D., M.P.H., Kya Fawley-King, Ph.D., Barbara Larson, and Piedad Garcia, Ed.D., L.C.S.W.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 63, Number 6
https://doi.org/10.1176/appi.ps.201100226
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Abstract

Objectives:

This study examined changes in service use associated with providing age-specific services for youths in their transitional years, ages 18–24.

Methods:

A quasi-experimental, difference-in-difference design with propensity score weighting was used to compare mental health service utilization (use of outpatient, inpatient, emergency, and justice system services) among 931 youths enrolled in outpatient programs specifically for transition-age youths and 1,574 youths enrolled in standard adult outpatient programs in San Diego County, California, from July 2004 through December 2009.

Results:

Among youths enrolled in outpatient programs geared toward youths of transitional age, the mean number of annual outpatient mental health visits increased by 12.2 (p<.001) compared with youths enrolled in standard adult outpatient programs.

Conclusions:

Compared with traditional adult outpatient mental health programs, age-specific programs were associated with an increased use of outpatient mental health services. Future research is needed to assess the effectiveness of age-specific programs for transition-age youths and how use of these programs relates to improved clinical, educational, and vocational outcomes over time. (Psychiatric Services 63:592–596, 2012; doi: 10.1176/appi.ps.201100226)

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Figures and Tables

Table 1 Characteristics of transition-age youths receiving services in a youth-specific outpatient program or an adult outpatient program in San Diego County, 2005–2009
Table 2 Standardized use of mental health services among transition-age youths in the 12 months before and after enrollment in a youth-specific outpatient program or an adult outpatient program in San Diego County, 2005–2009
Table 3 Difference-in-difference estimates of changes in use of mental health services among transition-age youths in the 12 months before and after enrollment in a youth-specific outpatient program or an adult outpatient program in San Diego County, 2005–2009

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Volume 63 • Number 6 • June 2012
Pages: 592 - 596
PubMed: 22422015

History

Published online: 1 June 2012
Published in print: June 2012

Authors

Details

Todd P. Gilmer, Ph.D. [email protected]
Dr. Gilmer is affiliated with the Division of Health Policy in the Department of Family and Preventive Medicine, University of California, San Diego (UCSD), 9500 Gilman Dr., La Jolla, CA 92093-0622 (e-mail: [email protected]).
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Victoria D. Ojeda, Ph.D., M.P.H.
Dr. Ojeda is with the Division of Global Public Health in the Department of Medicine at UCSD.
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Kya Fawley-King, Ph.D.
Dr. Fawley-King is with the Child and Adolescent Services Research Center, San Diego.
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Barbara Larson
Ms. Larson is with the Health Services Research Center, UCSD.
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Piedad Garcia, Ed.D., L.C.S.W.
Dr. Garcia is with Adult and Older Adult Mental Health Services, San Diego County.
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