Title
Expenditures in mental illness and substance use disorders among veteran clinic users with diabetes
UMMS Affiliation
Department of Psychiatry
Publication Date
2008-05-31
Document Type
Article
Subjects
Comorbidity; Diabetes Mellitus; Female; Humans; Male; Mental Disorders; Substance-Related Disorders; United States; *Veterans
Disciplines
Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology
Abstract
Few studies have looked at the health-care expenditures of diabetes patients based on the type of co-occurring conditions of mental illness (MI) or substance use disorders (SUD). Our study analyzes the health-care expenditures associated with various diagnostic clusters of co-occurring drug, alcohol, tobacco use, and mental illness in veterans with diabetes. We merged Veteran Health Administration and Medicare fee-for-service claims database (fiscal years 1999 and 2000) for analysis (N = 390,253) using generalized linear models; SUD/MI were identified using International Classification of Diseases, 9th edition codes. The total average expenditures (fiscal year 2000) were lowest ($6,185) in the "No MI and No SUD" and highest ($19,801) for individuals with schizophrenia/other psychoses and alcohol/drug use. High expenditures were associated with both SUD and MI conditions in diabetes patients, and veterans with alcohol/drug use had the highest expenditures across all groups of MI. These findings reinforce the need to target groups with multiple comorbidities specifically those with serious mental illnesses and alcohol/drug use for interventions to reduce health-care expenditures.
DOI of Published Version
10.1007/s11414-008-9120-8
Source
J Behav Health Serv Res. 2008 Jul;35(3):290-303. Epub 2008 May 30. Link to article on publisher's site
Journal/Book/Conference Title
The journal of behavioral health services and research
Related Resources
PubMed ID
18512155
Repository Citation
Banerjea R, Sambamoorthi U, Smelson D, Pogach LM. (2008). Expenditures in mental illness and substance use disorders among veteran clinic users with diabetes. Implementation Science and Practice Advances Research Center Publications. https://doi.org/10.1007/s11414-008-9120-8. Retrieved from https://escholarship.umassmed.edu/psych_cmhsr/32