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Published Online: 16 October 2019

Neonatal Abstinence Syndrome and Childhood Mental Health Conditions, 2009–2015: Commercial Versus Medicaid Populations

Kailyn L. Conner, M.P.H. [email protected], Amy L. Meadows, M.D., M.H.S., Chris Delcher, Ph.D., and Jeffery C. Talbert, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 71, Number 2
https://doi.org/10.1176/appi.ps.201900180
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Abstract

Objective:

This study aimed to examine mental health conditions of children diagnosed with neonatal abstinence syndrome (NAS) in a commercially insured population and compare them with a multistate Medicaid-insured population identified in prior research.

Methods:

Data from the IBM MarketScan Commercial Database from January 1, 2009, to September 30, 2015, were used to identify mental health conditions among children ages 1–5 both with and without NAS. Frequency analyses were conducted to ascertain intrapopulation differences and differences between the commercially insured and Medicaid populations.

Results:

The NAS rate in the Medicaid population was 28.7 times higher than in the commercially insured population. Although the sample of children with NAS was small, and the results must be interpreted with caution, elevated rates of childhood mental health conditions observed in the commercially insured population were comparable to the Medicaid population.

Conclusions:

This analysis emphasizes the difference in rates of NAS between commercially insured and Medicaid populations.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Volume 71 • Number 2 • February 01, 2020
Pages: 184 - 187
PubMed: 31615364

History

Received: 5 April 2019
Revision received: 16 July 2019
Accepted: 15 August 2019
Published online: 16 October 2019
Published in print: February 01, 2020

Keywords

  1. Alcohol and drug abuse
  2. Child psychiatry
  3. Neonatal abstinence syndrome
  4. Mental health
  5. NAS
  6. Health insurance

Authors

Details

Kailyn L. Conner, M.P.H. [email protected]
Department of Pharmacy Practice and Science, Institute for Pharmaceutical Outcomes & Policy, University of Kentucky College of Pharmacy (Conner, Delcher, Talbert), and Department of Psychiatry and Department of Pediatrics, University of Kentucky College of Medicine (Meadows), Lexington.
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Amy L. Meadows, M.D., M.H.S.
Department of Pharmacy Practice and Science, Institute for Pharmaceutical Outcomes & Policy, University of Kentucky College of Pharmacy (Conner, Delcher, Talbert), and Department of Psychiatry and Department of Pediatrics, University of Kentucky College of Medicine (Meadows), Lexington.
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Chris Delcher, Ph.D.
Department of Pharmacy Practice and Science, Institute for Pharmaceutical Outcomes & Policy, University of Kentucky College of Pharmacy (Conner, Delcher, Talbert), and Department of Psychiatry and Department of Pediatrics, University of Kentucky College of Medicine (Meadows), Lexington.
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Jeffery C. Talbert, Ph.D.
Department of Pharmacy Practice and Science, Institute for Pharmaceutical Outcomes & Policy, University of Kentucky College of Pharmacy (Conner, Delcher, Talbert), and Department of Psychiatry and Department of Pediatrics, University of Kentucky College of Medicine (Meadows), Lexington.
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Notes

Send correspondence to Ms. Conner ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

This publication was supported by grant UL1TR001998, awarded by the National Center for Advancing Translational Sciences, National Institutes of Health (NIH).

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