Exploring Antidepressant Adherence at a Student-Run Free Mental Health Clinic

Claire L. Mann, Robert A. Rifkin, Elisa M. Nabel, David C. Thomas, Yasmin S. Meah, Craig L. Katz

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Minority groups experience higher depression but lower treatment rates. Student-run free mental health (MH) clinics, such as the East Harlem Health Outreach Partnership (EHHOP) MH clinic, address this disparity. This study scrutinized EHHOP MH’s depression treatment by measuring adherence to antidepressants. Pharmacy data from seventy-nine patients were reviewed according to HEDIS criteria. Results compare EHHOP MH to New York State (NYS) Medicaid and NYS commercial insurance providers. In the acute treatment phase, EHHOP MH performed similarly to NYS Medicaid. In all other comparisons, EHHOP MH had lower adherence rates. Physician notes were reviewed to identify reasons for low adherence.

Original languageEnglish
Pages (from-to)57-62
Number of pages6
JournalCommunity Mental Health Journal
Volume55
Issue number1
DOIs
StatePublished - 31 Jan 2019

Keywords

  • Antidepressant adherence
  • Free clinic
  • HEDIS criteria
  • Mental health clinic
  • Student-run clinic

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