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Exploring Antidepressant Adherence at a Student-Run Free Mental Health Clinic

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Abstract

Minority groups experience higher depression but lower treatment rates. Student-run free mental health (MH) clinics, such as the East Harlem Health Outreach Partnership (EHHOP) MH clinic, address this disparity. This study scrutinized EHHOP MH’s depression treatment by measuring adherence to antidepressants. Pharmacy data from seventy-nine patients were reviewed according to HEDIS criteria. Results compare EHHOP MH to New York State (NYS) Medicaid and NYS commercial insurance providers. In the acute treatment phase, EHHOP MH performed similarly to NYS Medicaid. In all other comparisons, EHHOP MH had lower adherence rates. Physician notes were reviewed to identify reasons for low adherence.

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Funding

This study has no funding sources to report.

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Authors and Affiliations

  1. Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Claire L. Mann, Robert A. Rifkin & Elisa M. Nabel

  2. Department of Medical Education, Rehabilitation Medicine, and Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    David C. Thomas

  3. Department of Medical Education, and Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Yasmin S. Meah

  4. Department of Medical Education, and Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Craig L. Katz

Authors
  1. Claire L. Mann
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  2. Robert A. Rifkin
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  3. Elisa M. Nabel
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  4. David C. Thomas
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  5. Yasmin S. Meah
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  6. Craig L. Katz
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Corresponding author

Correspondence to Claire L. Mann.

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Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

This study did not require informed consent, as it was granted IRB exemption.

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Mann, C.L., Rifkin, R.A., Nabel, E.M. et al. Exploring Antidepressant Adherence at a Student-Run Free Mental Health Clinic. Community Ment Health J 55, 57–62 (2019). https://doi.org/10.1007/s10597-018-0301-5

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  • DOI: https://doi.org/10.1007/s10597-018-0301-5

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