TY  - JOUR
PY  - 2016//
TI  - Associations between magnitude of child maltreatment and medicaid expenditures for psychotropic medications
JO  - Psychiatric services
A1  - Ross, Raven E.
A1  - Allaire, Benjamin T.
A1  - Brown, Derek S.
A1  - Raghavan, Ramesh
A1  - Landsverk, John
SP  - 916
EP  - 919
VL  - 67
IS  - 8
N2  - 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>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201500211
ID  - ref1
ER  -