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Use of Inpatient Behavioral Health Services by Children and Adolescents With Private Insurance Coverage
Judith L Teich1, Ryan Mutter1, Brent Gibbons1
1Ms. Teich, Dr. Mutter, Dr. Lynch, and Dr. Ali are with the Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services, Rockville, Maryland. Dr. Gibbons and Ms. Miller are with Truven Health Analytics, an IBM Watson Health Company, Bethesda, Maryland.
Psychiatric Services (Washington, D.C.)
|June 21, 2018
Summary
Youth hospitalizations for behavioral health conditions are rising, particularly for suicide and self-harm. Increases were greatest in acute care psychiatric and detoxification beds, highlighting an urgent need for intervention.
Area of Science:
- Pediatric Health
- Mental Health Services
- Healthcare Trends
Background:
- Youth behavioral health conditions represent a growing public health concern.
- Understanding hospitalization trends is crucial for resource allocation and intervention strategies.
Purpose of the Study:
- To analyze trends in youth hospitalizations for behavioral health conditions.
- To examine changes in hospitalization rates across different bed types (nonpsychiatric, psychiatric/detoxification, specialty psychiatric).
- To identify key behavioral health diagnoses driving these hospitalizations.
Main Methods:
- Utilized the MarketScan Commercial Claims and Encounters database for 2009 and 2014.
- Analyzed hospitalization data for individuals aged 2 to 18 with behavioral health conditions.
- Examined hospitalization percentages by demographic characteristics, bed type, and diagnosis.
Main Results:
- A significant increase in youth hospitalizations for behavioral health conditions was observed between 2009 and 2014.
- The most substantial rise occurred in acute care hospital psychiatric and detoxification beds.
- Hospitalizations for suicidal ideation or self-harm injuries saw a marked increase, rising by 17.8 to 30.0 percentage points depending on bed type.
Conclusions:
- The rising trend in youth hospitalizations for behavioral health conditions is confirmed.
- Findings align with studies indicating a doubling of hospitalizations for suicide and self-harm among youth.
- Highlights the escalating severity and prevalence of mental health crises in young people.
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