Associations Between Magnitude of Child Maltreatment and Medicaid Expenditures for Psychotropic Medications

作者：Raghavan Ramesh; Brown Derek S; Allaire Benjamin T; Ross Raven E^*; Landsverk John

来源：Psychiatric Services, 2016, 67(8): 916-919.

DOI：10.1176/appi.ps.201500211

Objective: This study examined relationships between various measures of the severity of child maltreatment and expenditures on psychotropic drugs among children in the welfare system.
Methods: Child participants (N=4,453) in the first National Survey of Child and Adolescent Well-Being (NSCAW) were linked to their Medicaid claims from 36 states. Three specifications for severity of maltreatment were developed. A two-part regression of logistic and generalized linear models of expenditures on psychotropic medications was estimated for each specification.
Results: Physically abused children had higher odds (odds ratio [OR]=1.34) and neglected children had lower odds (OR=.76) of incurring psychotropic drug expenditures. Children who experienced the most severe level of harm had higher odds (OR=1.33) of medication use, compared with children without appreciable harm. No maltreatment specifications were associated with increased expenditures on psychotropic drugs.
Conclusions: The magnitude of maltreatment affected odds of use of psychotropic drugs but had no effect on Medicaid expenditures for these drugs.

• 出版日期2016-8-1
• 单位rutgers