ArticlePsychiatric services (Washington, D.C.)2010
Changes in guideline-recommended medication possession after implementing Kendra's law in New York.
Article in Psychiatric services (Washington, D.C.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of the effect of community treatment orders on service use.Social psychiatry and psychiatric epidemiology · 2014Pooled it
- Critical Gaps in Assisted Outpatient Treatment Research in the United States.Administration and policy in mental health · 2024Article
- Mortality-Risk With "Capacity" Constraints On Community Treatment Order Utilization.Schizophrenia bulletin open · 2023Article
- Protecting Health and Safety with Needed-Treatment: the Effectiveness of Outpatient Commitment.The Psychiatric quarterly · 2022Review
- Effects of Medicare Part D on guideline-concordant pharmacotherapy for bipolar I disorder among dual beneficiaries.Psychiatric services (Washington, D.C.) · 2014Article
- An advocate's observations on research concerning assisted outpatient treatment.Current psychiatry reports · 2014Article
- The utility of outpatient civil commitment: Investigating the evidence.International journal of law and psychiatryReview
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThis study examined changes in possession of guideline-recommended medication among three groups of New York State Medicaid enrollees with severe mental illness: those who received an involuntary outpatient commitment order, voluntary enhanced services, or neither of these interventions.
methodsAn observational study was conducted with New York State Medicaid claims data for enrollees with bipolar, schizophrenia, or schizoaffective disorders in New York City, Long Island, and the Hudson River regions from 2000 to 2005 (N=7,762). With adjustment for clinical and demographic characteristics, logistic regression models predicted the probability of a monthly medication possession ratio (MPR) ≥ 80% for medications recommended by expert guidelines or by the U.S. Food and Drug Administration for the indicated psychiatric diagnosis. Separate models were fit by region and for patients who ever received assisted outpatient treatment (AOT), voluntary enhanced services but never AOT, or neither treatment.
resultsIn all three regions, for all three groups, the predicted probability of an MPR ≥ 80% improved over time (AOT improved by 31-40 percentage points, followed by enhanced services, which improved by 15-22 points, and "neither treatment," improving 8-19 points). Some regional differences in MPR trajectories were observed.
conclusionsAfter New York implemented AOT and increased community resources for enhanced services, guideline-recommended medication possession improved among Medicaid enrollees with severe mental illness--even among those who never received these interventions or services. However, further study is needed to understand why there were different regional trajectories and why some groups did not gain similarly across regions.
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