TY - JOUR
T1 - The role of clinical setting and management approach in metabolic testing among youths and adults treated with antipsychotics
AU - Nicol, Ginger E.
AU - Campagna, Elizabeth J.
AU - Garfield, Lauren D.
AU - Newcomer, John W.
AU - Parks, Joseph J.
AU - Morrato, Elaine H.
N1 - Funding Information:
This work was supported by the Missouri Institute for Mental Health, affiliated with the University of Missouri-St. Louis; MO HealthNet (Medicaid); the Missouri Department of Mental Health; and National Institutes of Health grants R21 MH 097045 and K23 MH 092435. The authors thank Michael Yingling, M.S., and Vincent Huang, B.A., for administrative assistance in development of the manuscript. Dr. Nicol has received research funding from, served as a consultant to, or served on an advisory board for Lundbeck, MedScape, NARSAD, Otsuka America Pharmaceuticals, Inc., Pfizer, Inc., and the Sidney R. Baer, Jr., Foundation. Ms. Campagna has received research grant support from Janssen Pharmaceuticals. Dr. Newcomer has received research funding from or served as a consultant to Otsuka America Pharmaceuticals, Inc., Found2Recovery, and Reviva Pharmaceuticals and has been a member of a data safety monitoring committee for Amgen. Dr. Parks has been a consultant for Otsuka America Pharmaceuticals, Inc. Dr. Morrato has received consulting fees, travel support, or research grant support from Amgen, the Consumer Healthcare Products Association, Janssen Pharmaceuticals, and Merck & Co., Inc. The other authors report no financial relationships with commercial interests.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Objective: This study compared metabolic screening among patients who received antipsychotic treatment at community mental health centers (CMHCs), with or without case management, and patients treated elsewhere. Methods: Rates of glucose and lipid testing among youths and adults in Missouri Medicaid (N=9,473) who received antipsychotic treatment at CMHCs, with and without case management, were evaluated. Multivariable logistic regressions determined which characteristics were independently associated with metabolic testing. Results: A total of 37.0% and 17.3% of youths and 68.7% and 34.9% of adults had glucose and lipid testing, respectively. Compared with treatment elsewhere, treatment at CMHCs, with or without casemanagement, respectively, was associated with higher odds of glucose testing (youths, adjusted odds ratio [AOR]=1.68 and 1.89; adults, AOR=1.43 and 1.44) and lipid testing (youths, AOR=2.40 and 2.35; adults, AOR=1.97 and 1.48). Conclusions: CMHCs had higher rates of metabolic testing, possibly reflecting Missouri's efforts to promote testing in these settings.
AB - Objective: This study compared metabolic screening among patients who received antipsychotic treatment at community mental health centers (CMHCs), with or without case management, and patients treated elsewhere. Methods: Rates of glucose and lipid testing among youths and adults in Missouri Medicaid (N=9,473) who received antipsychotic treatment at CMHCs, with and without case management, were evaluated. Multivariable logistic regressions determined which characteristics were independently associated with metabolic testing. Results: A total of 37.0% and 17.3% of youths and 68.7% and 34.9% of adults had glucose and lipid testing, respectively. Compared with treatment elsewhere, treatment at CMHCs, with or without casemanagement, respectively, was associated with higher odds of glucose testing (youths, adjusted odds ratio [AOR]=1.68 and 1.89; adults, AOR=1.43 and 1.44) and lipid testing (youths, AOR=2.40 and 2.35; adults, AOR=1.97 and 1.48). Conclusions: CMHCs had higher rates of metabolic testing, possibly reflecting Missouri's efforts to promote testing in these settings.
UR - http://www.scopus.com/inward/record.url?scp=84953431763&partnerID=8YFLogxK
U2 - 10.1176/appi.ps.201400428
DO - 10.1176/appi.ps.201400428
M3 - Article
C2 - 26325456
AN - SCOPUS:84953431763
SN - 1075-2730
VL - 67
SP - 128
EP - 132
JO - Psychiatric Services
JF - Psychiatric Services
IS - 1
ER -