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Adm Policy Ment Health. 2010 Sep;37(5):379-87. doi: 10.1007/s10488-009-0248-5.

Patterns and predictors of restrictive health care service use by youths with bipolar disorder.

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  • 1Health Services Research Department, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, UK. Sara.Evans-Lacko@iop.kcl.ac.uk


Patterns of behavioral health service utilization were examined among youth diagnosed with bipolar disorder (n = 832). Youth were categorized as high, moderate, and low restrictive service users (43, 7, and 50%, respectively). Factors associated with receiving care in highly restrictive settings included: numerous co-occurring diagnoses and being enrolled in managed care. Youth with regular outpatient visits were less likely to receive care in highly restrictive settings. This analysis provides a broad and dramatic picture of the intensity of services needed by most youth with bipolar. Having regular outpatient services shows promise with regard to reducing costly care in restrictive settings.

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