Mental Health and Developmental Disorder Diagnoses of Foster and Nonfoster Children Enrolled in Medicaid,Journal of Developmental & Behavioral Pediatrics

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Mental Health and Developmental Disorder Diagnoses of Foster and Nonfoster Children Enrolled in Medicaid
Journal of Developmental & Behavioral Pediatrics ( IF 2.4 ) Pub Date : 2022-06-01 , DOI: 10.1097/dbp.0000000000001030
Rachael J Keefe _{1,

2} , Angela D L Cummings _{1,

2} , Christopher S Greeley _{1,

2} , Bethanie S Van Horne _{1,

2}

Affiliation

Objective:

This study used Medicaid claims to compare the prevalence of mental health disorders (MHDs) and developmental disorders (DDs) between foster and nonfoster youth.

Methods:

Medicaid claims data were used to identify MHDs and DDs. Diagnosis codes were categorized into 16 MHD and 8 DD groups. Children were enrolled in their respective Medicaid plan for at least 30 days and had at least 1 health care encounter generating a claim. Prevalence was compared between children in foster care and children not in foster care overall and by age group. Logistic regression was used to compare the odds of having an MHD or DD diagnosis.

Results:

Of the 8706 children in foster care, 20.1% had an MHD compared with 9.7% of the 392,815 nonfoster children. Overall, the 5 most prevalent MHD and DD conditions among foster youth were attention-deficit/hyperactivity disorder (ADHD) (11.0%), miscellaneous (9.3%), bipolar disorders (5.6%), communication disorders (5.4%), and depressive disorders (5.1%). The 5 most prevalent conditions among children not in foster care were ADHD (6.1%); communication disorders (3.0%); disruptive, impulse control, and conduct disorders (2.7%); specific learning disorders (2.5%); and trauma and stressor-related disorders (2.4%). Anxiety was significantly higher among nonfoster children. The prevalence of the most common conditions by age group is reported. Overall, children in foster care had 2.5 and 2.3 times higher odds of having an MHD or DD diagnosis, respectively.

Conclusion:

Children in foster care had significantly higher rates of mental health and DD diagnoses compared with children not in foster care.

中文翻译：

参加医疗补助的寄养和非寄养儿童的心理健康和发育障碍诊断

客观的：

本研究利用医疗补助声明来比较寄养青少年和非寄养青少年的心理健康障碍 (MHD) 和发育障碍 (DD) 的患病率。

方法：

医疗补助索赔数据用于识别 MHD 和 DD。诊断代码分为 16 个 MHD 组和 8 个 DD 组。儿童参加各自的医疗补助计划至少 30 天，并且至少有 1 次医疗保健经历产生索赔。对寄养儿童和非寄养儿童的患病率进行了整体和按年龄组的比较。使用逻辑回归来比较 MHD 或 DD 诊断的几率。

结果：

在 8706 名寄养儿童中，20.1% 患有 MHD，而在 392,815 名非寄养儿童中，这一比例为 9.7%。总体而言，寄养青少年中最常见的 5 种 MHD 和 DD 病症是注意力缺陷/多动障碍 (ADHD) (11.0%)、杂项 (9.3%)、躁郁症 (5.6%)、沟通障碍 (5.4%) 和抑郁症疾病（5.1%）。非寄养儿童中最常见的 5 种病症是多动症 (ADHD) (6.1%)；沟通障碍（3.0%）；破坏性、冲动控制和品行障碍（2.7%）；特定学习障碍（2.5%）；以及创伤和压力源相关疾病（2.4%）。非寄养儿童的焦虑程度明显更高。报告了按年龄组划分的最常见疾病的患病率。总体而言，寄养儿童诊断出 MHD 或 DD 的几率分别高出 2.5 倍和 2.3 倍。