Behavioral Health and Diversity
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Presented by Salim Chowdhury, MD - Community Care Curtis Upsher, Jr. MS - Director Community Relations - Community Care Medicine, Culture, and Spirituality Conference September 9, 2011
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Behavioral Health and Diversity
- 1. BEHAVIORAL HEALTH AND DIVERSITY Salim Chowdhury, MD Curtis Upsher Jr., M.S.
- 3. Pennsylvania Counties Served by Community Care County Served by Community Care Erie Crawford Mercer Washington Greene Fayette Allegheny Westmoreland Butler Armstrong Clarion Venango Forest Warren McKean Potter Cameron Elk Jefferson Clearfield Indiana Cambria Somerset Bedford Blair Centre Clinton Huntingdon Fulton Franklin Adams Cumberland Perry Mifflin Snyder Union Lycoming Tioga Bradford Columbia Montou r Northumberland Dauphin York Lancaster Chester Berks Lebanon Schuylkill Luzerne Wyoming Susquehanna Lackawanna Wayne Pike Monroe Carbon Lehigh Northampton Bucks Montgomery Delaware Philadelphia Juniata Sullivan Community Care Office
- 18. Treatment Engagement (Across All contracts) 16% of Hispanic members; 25% of non-Hispanic members
- 26. Co-occurring Diagnoses Co-Occurring 12% Percentage of Members in Treatment with Mental Health, Co-occurring and Substance Use Disorders
- 27. Co-Occurring Diagnoses: Prevalence by Age
- 28. Co-occurring Diagnoses: Prevalence by Race and Ethnicity
Editor's Notes
- Again Claims based data. Any MH diagnosis combined with any SUD diagnosis indicate co-occurring. Need not be from the same claim. Overall, about 12% of all members in treatment have co-occurring diagnoses. There is little gender-based variance. There was very little variation among the prevalence of mental health diagnoses. Overall, about 90% of all HCAL members in treatment had a mental health diagnosis. Only in the age breakout was much variation seen. For children and senior members in excess of 95% of members had mental health diagnoses. For adults ages 20-34, only 82% had mental health diagnoses. In each of the other sub groups (gender, race ethnicity) the prevalence of mental health diagnoses was comparable to the overall rate. The rates of substance use disorder diagnoses however varied markedly among some of the sub groups.
- In all groups, the majority of substance used disorders are seen within the context of co-occurring diagnoses.