Healthcare utilization costs of emerging adults with mood and anxiety disorders in an early intervention treatment program compared to a matched cohort

Ava A. John-Baptiste, Lihua Li, Wanrudee Isaranuwatchai, Elizabeth Osuch, Kelly K. Anderson

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Aim: 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. Methods: 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. Results: 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. Conclusions: 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.

Original languageEnglish
Pages (from-to)1439-1446
Number of pages8
JournalEarly Intervention in Psychiatry
Volume13
Issue number6
DOIs
StatePublished - 1 Dec 2019
Externally publishedYes

Keywords

  • anxiety disorders
  • costs and cost analysis
  • early medical intervention
  • mood disorders
  • young adult

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