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Do Race, Ethnicity Affect Therapy Return Rates?

Depress Anxiety; ePub 2017 Nov 2; Zeber, et al

Provider and healthcare system variation were stronger predictors of patient return to psychotherapy than race and ethnicity, according to a recent study. Researchers evaluated data from 242,765 patients aged ≥18 years from 6 healthcare systems in the Mental Health Research Network (MHRN) who had a new episode of psychotherapy treatment for depression between January 1, 2010, and December 31, 2013. The odds of racial and ethnic minority patients returning for a second psychotherapy visit within 45 days of the initial session were examined using multilevel regression. The sample was primarily middle aged (68%, aged 30–64 years), female (68.5%), and non-Hispanic white (50.7%), had commercial insurance (81.4%), and a low comorbidity burden (68.8% had no major comorbidities). They found:

  • Return rates within 45 days of the first psychotherapy visit were 47.6%.
  • Compared to their non-Hispanic white counterparts, racial and ethnic minority patients were somewhat less likely to return to psychotherapy for a second visit.
  • Healthcare system was a much stronger predictor of return rates, while providers accounted for 21.1% of the variance in return rates.
Citation:

Zeber JE, Coleman KJ, Fischer H, et al. The impact of race and ethnicity on rates of return to psychotherapy for depression. [Published online ahead of print November 2, 2017]. Depress Anxiety. doi:10.1002/da.22696.

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