NC Youth Mental Healthcare Provision by County

Our primary goal is to improve behavioral health care for youth across North Carolina. To achieve this goal, we aim to understand and address the unique needs of each county in our diverse state. This knowledge will help NC-PAL partner with agencies across the state to improve care for all youth.

We also believe that all citizens – including professionals and the general population – can benefit from knowing about the behavioral health care needs in their communities. This information will help you understand your community’s behavioral health service usage and identify areas that could be improved.

We created a series of maps and tables to share this important information with you.  We examined data from Medicaid claims during a one-year period (October 1, 2017 to September 30, 2018) to understand prevalence rates for behavioral health care diagnoses and treatments in North Carolina. Prevalence rates tells us the proportion of youth who have a particular characteristic. For example, you can learn about the proportion of youth with Medicaid in your county who have specific behavioral health diagnoses out of all Medicaid youth in your county. You can also compare these rates in your county to other counties and to the whole state.

We invite you to explore the tabs below to learn about:

  1. the different behavioral health diagnoses that youth receive
  2. the types of behavioral health treatments that youth receive
  3. the types of psychiatric medications that are prescribed to youth
  4. the types of providers who prescribe medication to youth

As you navigate these tabs, please take a moment to read the footnotes below.

Explore Patient Data

 

 

Select a county to learn more.

Explore Provider Data

 

 

Select a county to learn more.

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Patient Data

Total Medicaid-Enrolled Youth : (% of NC Medicaid-Enrolled Youth)
Medicaid-Enrolled Youth Assigned a Psychiatric Diagnosis: ( Youths)
Medicaid-Enrolled Youth Receiving Behavioral Health Treatment: ( Youths)
Psychiatric Prescriptions Filled by Medicaid-Enrolled Youth: ( Youths)

Relative Prevalence of Psychiatric Diagnoses

This graph/figure answers the question, "What percentage of Medicaid-Enrolled youth in this county have each type of diagnosis?"
  County North Carolina
Depression
Anxiety
ADHD
Autism Spectrum Disorder
Disruptive Behavior Disorders
Intellectual Disability
Intellectual Disability

Proportion of Patients Receiving Therapy, Prescriptions, or Both

This graph/figure answers the question: "How many Medicaid-enrolled youth in this county received treatment for a behavioral health disorder?"
  County North Carolina
Behavioral Therapy
Psychiatric Prescription
Both Therapy and Prescription

Relative Prevalence of Psychiatric Prescription Types

This graph/figure answers the question: "What types of psychiatric medications were prescribed to Medicaid-Enrolled youth in this county?"
  County North Carolina
Antidepressants
Stimulants
Alpha-agonists
Antipsycotics

Provider Data

Psychiatric Prescriptions by Provider Type

This graph/figure answers the question: "What types of providers prescribed psychiatric medications to Medicaid-enrolled youth in this county?"
  County North Carolina
Child Psychiatry Providers
Adult Psychiatry Providers
Pediatric Providers
Family Medicine Providers
PA PCP Providers
NP PCP Providers

Number of Providers Who Treated Medicaid-Enrolled Youth

  North Carolina
Child Psychiatry Providers
Adult Psychiatry Providers
Pediatric Providers
Family Medicine Providers
PA PCP Providers
NP PCP Providers
Prescriptions Written by Child Psychiatry Providers ( of County Prescriptions)
Prescriptions Written by Adult Psychiatry Providers ( of County Prescriptions)
Prescriptions Written by Pediatric Providers ( of County Prescriptions)
Prescriptions Written by Family Medicine Providers ( of County Prescriptions)
Prescriptions Written by PA PCP Providers ( of County Prescriptions)
Prescriptions Written by NP PCP Providers ( of County Prescriptions)

Note:

  • Youth are defined as children between the ages of 0-21
  • Patients were included in the data if their county of residence was not missing.
  • Behavioral health diagnoses were identified based on ICD-10-CM diagnosis codes.
  • Psychiatric medication treatment was identified using generic prescription names.
  • Providers were included if they had at least one encounter with any pediatric individual ages 0-21 enrolled in Medicaid.
  • Providers were assigned to the county or counties in which they had a physical work location during the study period.
  • Because some providers were assigned to multiple counties, the sum of providers is greater than the total number of all NC providers.
  • * Some county data values may be suppressed due to small cell counts.