Community Mental Health Journal

, Volume 45, Issue 5, pp 333–340

Antidepressant Adequacy and Work Status Among Medicaid Enrollees with Disabilities: A Restriction-based, Propensity Score-adjusted Analysis


    • Center for Psychopharmacologic Research and TreatmentUniversity of Massachusetts Medical School
  • Alexis D. Henry
    • Center for Health Policy and Research (CHPR)University of Massachusetts Medical School
  • Jianying Zhang
    • Center for Health Policy and Research (CHPR)University of Massachusetts Medical School
  • Fred Hooven
    • Center for Outcomes ResearchUniversity of Massachusetts Medical School
  • Steven M. Banks
    • Center for Health Policy and Research (CHPR)University of Massachusetts Medical School
    • Department of PsychiatryUniversity of Massachusetts Medical School
Original Paper

DOI: 10.1007/s10597-009-9199-2

Cite this article as:
Smith, E.G., Henry, A.D., Zhang, J. et al. Community Ment Health J (2009) 45: 333. doi:10.1007/s10597-009-9199-2


This cross-sectional study of adult survey respondents with disability and depression (n = 199) enrolled in Massachusetts’ Medicaid program examined the association of adequately or inadequately prescribed antidepressant treatment and self-reported work status using conditional logistic regression, controlling for age, gender, race, marital status, education, receipt of SSI/SSDI, self-reported disabling condition, and health status. Confounding by severity was addressed by two methods: restriction of our sample and subsequent stratification by propensity score. Individuals receiving adequate antidepressant treatment had an increased odds of working compared to individuals receiving inadequate treatment, both in analyses in which restriction was used to limit confounding (OR = 3.45, 95% CI = 1.15–10.32, P < .03), and in analyses which combined restriction with adjustment by propensity score stratification (OR = 3.04, 95% CI = 1.01–9.62, P < .05). Among this sample of Medicaid enrollees with disability and depression, those receiving adequate antidepressant treatment were significantly more likely to report working.


DepressionDisabilityEmploymentAntidepressant treatmentRestrictionPropensity score

Copyright information

© Springer Science+Business Media, LLC 2009