@article{ref1,
title="Associations between magnitude of child maltreatment and medicaid expenditures for psychotropic medications",
journal="Psychiatric services",
year="2016",
author="Ross, Raven E. and Allaire, Benjamin T. and Brown, Derek S. and Raghavan, Ramesh and Landsverk, John",
volume="67",
number="8",
pages="916-919",
abstract="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.<br><br>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.<br><br>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.<br><br>CONCLUSIONS:The magnitude of maltreatment affected odds of use of psychotropic drugs but had no effect on Medicaid expenditures for these drugs.<p /> <p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.201500211",
url="http://dx.doi.org/10.1176/appi.ps.201500211"
}