ArticleJournal of the American Academy of Child and Adolescent Psychiatry2019
Racial and Ethnic Differences in Minimally Adequate Depression Care Among Medicaid-Enrolled Youth.
Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses 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.
The trial behind it
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Nonsuicidal Self-Injury Among African American and Hispanic Adolescents and Young Adults: a Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2021Pooled it
- Key Components of Effective Pediatric Integrated Mental Health Care Models: A Systematic Review.JAMA pediatrics · 2020Pooled it
- Therapy and Antidepressant Use in 8- to 29-Year-Old Autistic Medicaid Enrollees With Depression.Autism : the international journal of research and practice · 2026Article
- Article
- Mental health service utilization in publicly insured survivors of childhood cancer: a claims-based analysis.JNCI cancer spectrum · 2025Article
- Strategic Treatment and Assessment for Youth (STAY): Development of a culturally humble measurement-based care training.School Psychology International · 2025Article
- Evaluation of Reliability Between Race and Ethnicity Data Obtained from Self-report Versus Electronic Health Record.Journal of racial and ethnic health disparities · 2025Article
- Health Care Setting and Minimally Adequate Depression Treatment Among Publicly Insured Children.JAMA network open · 2025Article
- Mental Health and Care Utilization Among Sexual and Gender Minority Youth by Race and Ethnicity.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Strategies to Improve Engagement of Latino Adolescents in Mental Health Research.Mental health science · 2025Article
- Mental healthcare utilisation among individuals with colorectal cancer: population-based cohort studies.BMJ oncology · 2025Article
- Racial and ethnic disparities in unmet need for mental health care among children: A nationally representative study.Journal of racial and ethnic health disparities · 2024Article
- Comprehensiveness of State Insurance Laws and Perceived Access to Pediatric Mental Health Care.JAMA network open · 2024Article
- Incidence of pediatric narcolepsy diagnosis and management: evidence from claims data.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- Identifying Precise Targets to Improve Child Mental Health Care Equity: Leveraging Advances in Clinical Research Informatics and Lived Experience.Child and adolescent psychiatric clinics of North America · 2024Review
- Article
- Designing an App to Support Measurement-Based Peer Supervision of Frontline Health Workers Delivering Brief Psychosocial Interventions in Texas: Multimethod Study.JMIR formative research · 2024Article
- Racial and ethnic inequities in the quality of paediatric care in the USA: a review of quantitative evidence.The Lancet. Child & adolescent health · 2024Review
- Treatment and Outcomes Among North Carolina Medicaid-Insured Youth With Depression.JAACAP open · 2023Article
- Parental Attitude Towards the Prescription of Psychotropic Medications for Mental Disorders in Children in a Tertiary Care University Hospital in Oman.Sultan Qaboos University medical journal · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo examine racial and ethnic disparities in the receipt of minimally adequate depression treatment in Medicaid-enrolled youth.
methodMedicaid claims data of 2008 through 2011 were used to derive a cohort of youth (5-17 years old) who were diagnosed with a new episode of major depression (N = 45,816) across 9 states. Dichotomous outcomes measured the receipt of minimally adequate psychotherapy (≥4 psychotherapy visits within 12 weeks of initiation); minimally adequate medication (filled antidepressants for 84 of 144 days); any minimally adequate treatment (psychotherapy or medication); and no psychotherapy or medication. Racial/ethnic disparities in the outcome measures were estimated using logistic regression models that controlled for predisposing, enabling, and need-related factors.
resultsLess than four-tenths (38.3%) of the cohort received minimally adequate psychotherapy, 19.2% received minimally adequate pharmacotherapy, and 49.9% received any minimally adequate treatment; conversely, 16.4% received no treatment. Adjusted percentages of black (42.3%; p < .001) and Hispanic (48.2%; p < .001) youth who received minimally adequate treatment were significantly smaller than for non-Hispanic whites (54.7%) because of lower likelihoods of receiving minimally adequate psychotherapy and/or minimally adequate pharmacotherapy. In addition, adjusted percentages of black (20.2%; p < .001) and Hispanic (15.0%; p < .01) youth who received no treatment were significantly larger than for non-Hispanic white youth (12.9%).
conclusionThe percentage of Medicaid-enrolled youth who receive minimally adequate treatment for depression is small overall and even smaller for racial/ethnic minorities than for whites. Future research is needed to identify strategies that improve the overall quality of depression treatment in Medicaid-enrolled youth and decrease disparities in care.
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