Follow-up care after maltreatment: sociodemographic associations with timeliness in a southern state

Children who experience maltreatment are at elevated risk of developing mental health difficulties. Even so, they often do not receive timely, evidenced-based mental health treatment, which may exacerbate the risk of poor outcomes. This study aims to describe the receipt of timely follow-up care aft...

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Authors: Calvert, Maegan L. (Author) ; Korgaonkar, Siddhi (Author) ; Ramachandran, Sujith (Author) ; Sarver, Dustin E. (Author)
Format: Electronic Article
Language:English
Published: 2023
In: Child maltreatment
Year: 2023, Volume: 28, Issue: 4, Pages: 634-647
Online Access: Volltext (lizenzpflichtig)
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Keywords:
Abuse
medicaid claims
Pediatrics
Mental Health
quality of care

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520 |a Children who experience maltreatment are at elevated risk of developing mental health difficulties. Even so, they often do not receive timely, evidenced-based mental health treatment, which may exacerbate the risk of poor outcomes. This study aims to describe the receipt of timely follow-up care after maltreatment in a southern state with known treatment shortages and aims to identify factors associated with timely follow-up care. We utilized a retrospective cohort design using 2014 Mississippi Medicaid administrative claims data for youth 0-18 years. Prevalence estimates and associations with definite and probable maltreatment (based on recorded age/injury combinations) during inpatient and outpatient healthcare encounters were evaluated. Rates of 30-day maltreatment follow-up with any medical or behavioral health provider were also assessed. Prevalence estimates of definite and probable maltreatment in the eligible study population (N = 324,752) were 0.53% and 3.8%, respectively. Only one-third of identified children received 30-day follow-up. Black and older children as well as children diagnosed with anxiety or depression were more likely to receive 30-day follow-up than younger children, white children, and children without anxiety or depression. Low rates of timely follow-up indicate the need for intentional workflow practices to increase the likelihood of follow-up. 
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