Evidence-Based Practices for Medicaid Beneficiaries with Schizophrenia and Bipolar Disorder. D. Receipt of Multiple EBPs

04/09/2012

Ideally, beneficiaries with schizophrenia or bipolar disorder should receive a continuous supply of evidence-based medications, psychosocial services, and laboratory monitoring of medication levels (for lithium and certain anticonvulsants) or common physical complications (for antipsychotics).

More than half (57 percent) of beneficiaries with schizophrenia had high medication continuity, and 45 percent also received at least one psychosocial service during the year. However, few received recommended screenings for cardiovascular disease and diabetes; taking these screenings into account, roughly 5 percent of beneficiaries with schizophrenia received all of these services during the year (Figure 1).

Forty-five percent of beneficiaries with bipolar disorder had high medication continuity, and 35 percent also received at least one psychosocial service. As was the case for beneficiaries with schizophrenia, few beneficiaries with bipolar disorder (about 5 percent) received all of these services.

FIGURE 1. Receipt of Multiple EBPs by Medicaid Beneficiaries with Schizophrenia and Bipolar Disorder, 2007

Figure 1 is a stacked bar chart with two bars. The stacked bars show the percentage of beneficiaries in the study population who received one, two, three, four, or all five evidence-based treatments. The bar on the left shows that among all Medicaid beneficiaries in the study with schizophrenia, 91.6 percent received appropriate medications, while 57.4 percent also had high medication continuity, 44.5 percent also received at least one psychosocial service, and 4.6 percent also received the recommended health screenings for antipsychotic users. The bar on the right shows that among all Medicaid beneficiaries in the study with bipolar disorder, 86.7 percent received appropriate medications, while 45.1 percent also had high medication continuity, 34.6 percent also received at least one psychosocial service, 27.1 percent also received all recommended medication monitoring, and 5.2 percent also received all recommended health screenings for antipsychotic users.

SOURCE: MAX data, calendar year 2007.

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