Psychiatry Research
Volume 144, Issue 2 , Pages 167-175 , 15 November 2006

Diagnostic variability for schizophrenia and major depression in a large public mental health care system dataset

  • David P. Folsom

      Affiliations

    • Department of Psychiatry, University of California San Diego, San Diego, CA, USA
    • Corresponding Author InformationCorresponding author. University of California, San Diego VA San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161, USA. Tel.: +1 858 534 4020; fax: +1 858 552 7404.
    • ,
  • Laurie Lindamer

      Affiliations

    • Department of Psychiatry, University of California San Diego, San Diego, CA, USA
    • ,
  • Lori P. Montross

      Affiliations

    • Department of Psychiatry, University of California San Diego, San Diego, CA, USA
    • ,
  • William Hawthorne

      Affiliations

    • Department of Psychiatry, University of California San Diego, San Diego, CA, USA
    • Community Research Foundation, San Diego, CA, USA
    • ,
  • Shahrokh Golshan

      Affiliations

    • Department of Psychiatry, University of California San Diego, San Diego, CA, USA
    • ,
  • Richard Hough

      Affiliations

    • Department of Psychiatry, University of New Mexico, Albuquerque, NM, USA
    • ,
  • John Shale

      Affiliations

    • San Diego County Adult and Older Adult Mental Health Services, San Diego, CA, USA
    • ,
  • Dilip V. Jeste

      Affiliations

    • Department of Psychiatry, University of California San Diego, San Diego, CA, USA

Received 6 July 2005 ,Revised 10 November 2005 ,Accepted 3 December 2005.

References 

  1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 4th ed.. Washington, DC: APA; 1994;
  2. Barrio C, Yamada A-M, Hough R, Hawthorne W, Garcia P, Jeste DV. Ethnic disparities in utilization of public mental health care management services among clients with schizophrenia. Psychiatric Services. 2003;54:1264–1270
  3. Barry CL, Thomas MR. Economic grand rounds: improving the quality of depression care in Medicaid. Psychiatric Services. 2005;56:1193–1195
  4. Busch AB, Frank RG, Lehman AF. The effect of a managed behavioral health carve-out on quality of care for Medicaid patients diagnosed as having schizophrenia. Archives of General Psychiatry. 2004;61:442–448
  5. Dixon L, Lyles A, Smith C, Hoch JS, Fahey M, Postrado L, et al. Use and costs of ambulatory care services among Medicare enrollees with schizophrenia. Psychiatric Services. 2001;52:786–792
  6. Edouard L, Rawson NS. Reliability of the recording of hysterectomy in the Saskatchewan health care system. British Journal of Obstetrics and Gynaecology. 1996;103:891–897
  7. Folsom DP, Hawthorne W, Lindamer L, Gilmer T, Bailey A, Golshan S, et al. Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system. American Journal of Psychiatry. 2005;162:370–376
  8. Gilmer TP, Folsom DP, Hawthorne W, Lindamer LA, Hough RL, Garcia P, et al. Assisted living and use of mental health services among Medicaid beneficiaries with schizophrenia. Journal of Mental Health Policy and Economics. 2003;6:59–65
  9. Gilmer TP, Dolder CR, Lacro JP, Folsom D, Lindamer L, Garcia P, et al. Adherence to treatment with antipsychotic medication and healthcare costs among Medicaid beneficiaries with schizophrenia. American Journal of Psychiatry. 2004;161:692–699
  10. Goodwin FK, Fireman B, Simon GE, Hunkeler EM, Lee J, Revicki D. Suicide risk in bipolar disorder during treatment with lithium and divalproex. Journal of the American Medical Association. 2003;290:1467–1473
  11. Jin H, Folsom DP, Lindamer L, Bailey A, Hawthorne W, Garcia P, et al. Patterns of service use by age in patients with schizophrenia in a large public mental health system. American Journal of Geriatric Psychiatry. 2003;11:525–533
  12. Lindamer LA, Bailey A, Hawthorne W, Folsom DP, Gilmer TP, Garcia P, et al. Gender differences in characteristics and service use of public mental health patients with schizophrenia. Psychiatric Services. 2003;54:1407–1409
  13. Lurie N, Popkin M, Dysken M, Moscovice I, Finch M. Accuracy of diagnosis of schizophrenia in Medicaid claims. Hospital and Community Psychiatry. 1992;43:69–71
  14. NAMHC Clinical Treatment and Services Research Workgroup, N.A.M.H.C. . Bridging Science and Services. Rockville, MD: National Institute of Mental Health; 1999;
  15. Rawson NS, D'Arcy C. Assessing the validity of diagnostic information in administrative health care utilization data: experience in Saskatchewan. Pharmacoepidemiology and Drug Safety. 1998;7:389–398
  16. Rawson NS, Malcolm E. Validity of the recording of ischaemic heart disease and chronic obstructive pulmonary disease in the Saskatchewan health care datafiles. Statistics in Medicine. 1995;14:2627–2643
  17. Rawson NS, Malcolm E, D'Arcy C. Reliability of the recording of schizophrenia and depressive disorder in the Saskatchewan health care datafiles. Social Psychiatry and Psychiatric Epidemiology. 1997;32:191–199
  18. Regier DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd LL, et al. Co-morbidity of mental disorders with alcohol and other drug abuse: results from the Epidemiological Catchment Area (ECA) study. Journal of the American Medical Association. 1990;264:2511–2518
  19. Rosenheck R, Seibyl CL. Homelessness: health service use and related costs. Medical Care. 1998;36:1121–1122
  20. Schwartz AH, Perlman BB, Paris M, Schmidt K, Thornton JC. Psychiatric diagnoses as reported to Medicaid and as recorded in patient charts. American Journal of Public Health. 1980;70:406–408
  21. Tsuang MT, Woolson RF, Winokur G. Stability of psychiatric diagnosis: schizophrenia and affective disorders followed up over 30- to 40-year period. Archives of General Psychiatry. 1981;38:535–539
  22. Veen ND, Selten J-P, Schols D, Laan W, Hoek HW, Van Der Tweel I, et al. Diagnostic stability in a Dutch psychosis incidence cohort. British Journal of Psychiatry. 2004;185:460–464
  23. Walkup J, Sambamoorthi U, Crystal S. Incidence and consistency of antiretroviral use among HIV-infected Medicaid beneficiaries with schizophrenia. Journal of Clinical Psychiatry. 2001;62:174–178
  24. Wang PN, Liao SQ, Liu RS, Liu CY, Chao HT, Lu SR, et al. Effects of estrogen on cognition, mood, and cerebral blood flow in AD: a controlled study. Neurology. 2000;54:2061–2066
  25. West SL, Richter A, Melfi CA, McNutt M, Nennstiel ME, Mauskopf JA. Assessing the Saskatchewan database for outcomes research studies of depression and its treatment. Journal of Clinical Epidemiology. 2000;53:823–831
  26. Zhang A, Scheffler R, Snowden L. State health care reform: the effects of program realignment on severely mentally ill persons in California's community-based mental health system. Psychiatric Services. 2000;51:1103–1106

PII: S0165-1781(05)00384-7

doi: 10.1016/j.psychres.2005.12.002

Psychiatry Research
Volume 144, Issue 2 , Pages 167-175 , 15 November 2006

Article Tools