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Clinical Characteristics and Outpatient Mental Health Service Use of Transition-Age Youth in the USA

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Abstract

This study examines diagnostic and service utilization patterns of transition-age youth in outpatient care derived from the 2007 nationally representative Client/Patient Sample Survey. Comparisons between 16–17, 18–21, and 22–25 year olds are highlighted. Among transition-age outpatients, the oldest youth had the highest rates of depression and bipolar disorder and co-occurring medical and substance use problems. Controlling for sociodemographic and clinical characteristics, 18–21 year olds were less likely to receive individual therapy than 16–17 year olds, but there were no age group differences in receipt of specialized therapy or psychotropic medication. Female gender and Hispanic ethnicity were positively associated with the number of services received and specialized service use, respectively; youth with private insurance were more likely than those with public insurance to receive psychotropic medication. Implications are discussed regarding access to and adequacy of services provided for young people in the critical transition to adulthood, especially with the implementation of the 2010 Affordable Care Act.

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Acknowledgments

Partial funding for this project was provided by the Robert Wood Johnson Foundation through grant #60184 for Project L/EARN.

Conflict of Interest

The authors have no conflict of interest to report.

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Authors and Affiliations

  1. School of Social Work and Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, 112 Paterson Street, New Brunswick, NJ, 08901, USA

    Kathleen J. Pottick PhD

  2. School of Social Welfare, University at Albany, 135 Washington Avenue, Richardson Hall - Room 210, Albany, NY, 12222, USA

    Lynn A. Warner PhD

  3. Child Health Institute, University of Washington, 6200 NE 74th Street, Suite 110, Seattle, WA, 98115, USA

    Ann Vander Stoep PhD

  4. Institute for Health, Healthcare Policy and Aging Research Rutgers, The State University of New Jersey, 112 Paterson Street, New Brunswick, NJ, 08901, USA

    Nelson M. Knight BA

Authors
  1. Kathleen J. Pottick PhD
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  2. Lynn A. Warner PhD
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  3. Ann Vander Stoep PhD
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  4. Nelson M. Knight BA
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Correspondence to Kathleen J. Pottick PhD.

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Pottick, K.J., Warner, L.A., Stoep, A.V. et al. Clinical Characteristics and Outpatient Mental Health Service Use of Transition-Age Youth in the USA. J Behav Health Serv Res 41, 230–243 (2014). https://doi.org/10.1007/s11414-013-9376-5

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  • DOI: https://doi.org/10.1007/s11414-013-9376-5

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