{"id":5840,"date":"2019-01-27T00:00:00","date_gmt":"2019-01-27T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/healthcare-utilization-costs-of-emerging-adults-with-mood-and-anxiety-disorders-in-an-early-intervention-treatment-program-compared-to-a-matched-cohort\/"},"modified":"2023-06-14T19:29:37","modified_gmt":"2023-06-14T23:29:37","slug":"healthcare-utilization-costs-of-emerging-adults-with-mood-and-anxiety-disorders-in-an-early-intervention-treatment-program-compared-to-a-matched-cohort","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/healthcare-utilization-costs-of-emerging-adults-with-mood-and-anxiety-disorders-in-an-early-intervention-treatment-program-compared-to-a-matched-cohort\/","title":{"rendered":"Healthcare utilization costs of emerging adults with mood and anxiety disorders in an early intervention treatment program compared to a matched cohort"},"content":{"rendered":"<p><strong>Aim<\/strong> &#x2014; The First Episode Mood and Anxiety Disorder Program (FEMAP) provides treatment to emerging adults with mood and anxiety disorders in an accessible, youth-friendly environment. We sought to investigate FEMAP&apos;s impact on the costs of care.<\/p>\n<p><strong>Methods<\/strong> &#x2014; We conducted a retrospective observational study of one-year health service costs using linked administrative datasets to compare emerging adults treated at FEMAP (FEMAP users) to propensity-score matched controls (non-users). Costs from the perspective of the Ontario Ministry of Health and Long-Term Care, included drug benefit claims, inpatient, physician and ambulatory care services. We used bootstrapping to perform unadjusted comparisons between FEMAP users and non-users, by cost category and overall. We performed risk-adjusted comparison of overall costs using generalized estimating equations.<\/p>\n<p><strong>Results<\/strong> &#x2014; FEMAP users (n = 366) incurred significantly lower costs compared to non-users (n = 660), for inpatient services (-&#x24;784, 95% confidence interval [CI] -&#x24;1765, -&#x24;28), ambulatory care services (-&#x24;90, 95% CI -&#x24;175, -&#x24;14) and drug benefit claims (-&#x24;47, 95% CI -&#x24;115,-&#x24;4) and significantly higher physician services costs (&#x24;435, 95% CI &#x24;276, &#x24;581) over 1 year. The unadjusted difference in overall costs was not significant (-&#x24;853, 95% CI -&#x24;2048, &#x24;142). Following adjustment for age, sex and age at first mental health diagnosis, the difference of -&#x24;914 (95% CI (-&#x24;2747, &#x24;919)) was also not significant.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; FEMAP was associated with significantly lower costs of inpatient and ambulatory care services, and higher costs of physician services, however we are unable to conclude that FEMAP is cost-saving overall.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aim &#x2014; The First Episode Mood and Anxiety Disorder Program (FEMAP) provides treatment to emerging adults with mood and anxiety disorders in an accessible, youth-friendly environment. We sought to investigate FEMAP&apos;s impact on the costs of care. Methods &#x2014; We conducted a retrospective observational study of one-year health service costs using linked administrative datasets to [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-5840","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"John-Baptiste AA, Li L, Isaranuwatchai W, Osuch E, Anderson KK. <em>Early Interv Psychiatry<\/em>. 2019; 13(6):1439-46. Epub 2019 Jan 27.","source_url":"https:\/\/doi.org\/10.1111\/eip.12790","ices_scientist":[1275,1377],"site":[6739],"research_program":[6744],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"AD5F9504-34FE-46B9-9B77-34D29956615E","sitecore_item_name":"Healthcare-utilization-costs-of-emerging-adults-with-mood-and-anxiety-disorders","sitecore_field_values":"{\n  \"Title\": \"Healthcare utilization costs of emerging adults with mood and anxiety disorders in an early intervention treatment program compared to a matched cohort\",\n  \"Short title\": \"Healthcare utilization costs of emerging\",\n  \"Summary\": \"The First Episode Mood and Anxiety Disorder Program (FEMAP) provides treatment to emerging adults with mood and anxiety disorders in an accessible, youth-friendly environment. \",\n  \"Citation\": \"<p>John-Baptiste AA, Li L, Isaranuwatchai W, Osuch E, Anderson KK. <em>Early Interv Psychiatry<\/em>. 2019; 13(6):1439-46. Epub 2019 Jan 27. DOI: <a href=\"https:\/\/doi.org\/10.1111\/eip.12790\" title=\"opens external link\">https:\/\/doi.org\/10.1111\/eip.12790<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Aim<\/strong> &mdash; The First Episode Mood and Anxiety Disorder Program (FEMAP) provides treatment to emerging adults with mood and anxiety disorders in an accessible, youth-friendly environment. We sought to investigate FEMAP's impact on the costs of care.<\/p>n<p><strong>Methods<\/strong> &mdash; We conducted a retrospective observational study of one-year health service costs using linked administrative datasets to compare emerging adults treated at FEMAP (FEMAP users) to propensity-score matched controls (non-users). Costs from the perspective of the Ontario Ministry of Health and Long-Term Care, included drug benefit claims, inpatient, physician and ambulatory care services. We used bootstrapping to perform unadjusted comparisons between FEMAP users and non-users, by cost category and overall. We performed risk-adjusted comparison of overall costs using generalized estimating equations.<\/p>n<p><strong>Results<\/strong> &mdash; FEMAP users (n = 366) incurred significantly lower costs compared to non-users (n = 660), for inpatient services (-$784, 95% confidence interval [CI] -$1765, -$28), ambulatory care services (-$90, 95% CI -$175, -$14) and drug benefit claims (-$47, 95% CI -$115,-$4) and significantly higher physician services costs ($435, 95% CI $276, $581) over 1 year. The unadjusted difference in overall costs was not significant (-$853, 95% CI -$2048, $142). Following adjustment for age, sex and age at first mental health diagnosis, the difference of -$914 (95% CI (-$2747, $919)) was also not significant.<\/p>n<p><strong>Conclusions<\/strong> &mdash; FEMAP was associated with significantly lower costs of inpatient and ambulatory care services, and higher costs of physician services, however we are unable to conclude that FEMAP is cost-saving overall.<\/p>\",\n  \"Research Programs\": \"{DD981CF2-C2A6-457A-9917-A8DD64CCF7D6}\",\n  \"ICES Locations\": \"{3B4AF7E8-6835-410B-AEB8-360A79CA0ED8}\",\n  \"ICES Scientists\": \"{D47FFD7F-5765-4920-841B-2CD327ABE40F}|{358406B5-5200-44A2-B01B-FCDD5B74FC1D}\",\n  \"Posted Date\": \"20190127T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2019\/January\/Healthcare-utilization-costs-of-emerging-adults-with-mood-and-anxiety-disorders"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Healthcare utilization costs of emerging adults with mood and anxiety disorders in an early intervention treatment program compared to a matched cohort<\/title>\n<meta name=\"description\" content=\"Aim &#x2014; 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