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01-01-2017 | Original Paper

Behavioral Health Problems Presented to Integrated Pediatric Behavioral Health Clinics: Differences in Urban and Rural Patients

Authors: Shinobu Watanabe-Galloway, Rachel Valleley, Katherine Rieke, Brittany Corley

Published in: Community Mental Health Journal | Issue 1/2017

Abstract

Behavioral health diagnoses and service use may differ based on rurality. The purpose of this study was to examine the patterns of mental disorder diagnoses of urban, rural, and remote pediatric populations. This retrospective study used electronic medical records from integrated behavioral health clinics in Nebraska from 2012 to 2013. Bivariate and multivariable models were used to examine the differences in diagnoses. Adolescents with attention deficit and related disorders were more likely to be male, younger, have public insurance and rural/remote residents. Adjustment disorders were associated with being female, older, and urban residents. Adolescents with anxiety disorder had a significant interaction between age and gender, with both genders being older, having private insurance, and urban residents. Adolescents with mood disorder were more likely to be female, older, and urban residents. Demographic and clinical differences among patients in urban and rural/remote settings have implications for care in rural settings.

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Title: Behavioral Health Problems Presented to Integrated Pediatric Behavioral Health Clinics: Differences in Urban and Rural Patients
Authors: Shinobu Watanabe-Galloway
Rachel Valleley
Katherine Rieke
Brittany Corley
Publication date: 01-01-2017
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 1/2017
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-016-0024-4

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