{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:39:32Z","timestamp":1786977572923,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100023581","name":"National Science Foundation Graduate Research Fellowship Program","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100023581","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K23 MH120347"],"award-info":[{"award-number":["K23 MH120347"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Although eating disorders (EDs) affect youth from all socioeconomic backgrounds, little is known about the treatment experiences of under\u2010resourced youth with EDs. To address this gap, we examined patterns of outpatient and inpatient service utilization among publicly\u2013insured youth with EDs in California and potential disparities for youth with additional marginalized identities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Participants were identified from the full sample of California Medicaid\/Medi\u2010Cal beneficiaries aged 7\u201318 with \u2265\u20091 service episode between January 1, 2014 and December 31, 2016. Claims data were extracted for youth with a full year of claims after the first known ED diagnosis (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20093311) to analyze outpatient mental health, outpatient medical\/physical, inpatient mental health, and inpatient medical\/physical service use across ED diagnosis and demographic characteristics (sex, age, race\/ethnicity, and preferred language).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Outpatient individual and family therapy service utilization was low across ED diagnoses (4\u20137 individual therapy sessions and \u22485 family therapy sessions annually). Conversely, hospitalization rates were high, particularly among youth with anorexia nervosa (27.8%) and bulimia nervosa (30.0%). Youth with other specified feeding or ED had high medical service utilization, with more days of outpatient medical care and greater odds of medical hospitalization than youth with all other diagnoses. Latinx youth, Black youth, and boys tended to receive fewer services after accounting for diagnosis, with disparities particularly pronounced for Latinx youth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Publicly\u2013insured youth with EDs in California experience high hospitalization rates but receive limited outpatient therapy. Additional research is needed to identify possible unmet needs and factors contributing to treatment disparities among these youth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24301","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T03:18:58Z","timestamp":1729739938000},"page":"181-192","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Predictors of Outpatient and Inpatient Service Utilization Among Publicly\u2013Insured Youth With Eating Disorders"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9262-3683","authenticated-orcid":false,"given":"Megan E.","family":"Mikhail","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California  San Francisco California USA"},{"name":"Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6913-9612","authenticated-orcid":false,"given":"Kate Duggento","family":"Cordell","sequence":"additional","affiliation":[{"name":"Mental Health Data Alliance  Folsom California USA"},{"name":"Center for Innovation in Population Health University of Kentucky  Lexington Kentucky USA"},{"name":"Social Policy Institute, San Diego State University  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5206-7798","authenticated-orcid":false,"given":"Amanda E.","family":"Downey","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California  San Francisco California USA"},{"name":"Department of Pediatrics University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1722-699X","authenticated-orcid":false,"given":"Lonnie R.","family":"Snowden","sequence":"additional","affiliation":[{"name":"School of Public Health University of California  Berkeley California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5521-6381","authenticated-orcid":false,"given":"Erin C.","family":"Accurso","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California  San Francisco California USA"},{"name":"Philip R. Lee Institute for Health Policy Studies, School of Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2021.2081"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2023.08.019"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220221211017664"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787.x10_Feeding_and_Eating_Disorders"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23206"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10129"},{"key":"e_1_2_9_8_1","unstructured":"California Department of Health Care Services.2024a.\u201cAbout the Department of Health Care Services.\u201dhttps:\/\/www.dhcs.ca.gov\/Pages\/AboutUs.aspx."},{"key":"e_1_2_9_9_1","unstructured":"California Department of Health Care Services.2024b.\u201cMedi\u2010Cal Children's Health Dashboard.\u201dhttps:\/\/www.dhcs.ca.gov\/services\/Pages\/DHCS\u2010Pediatric\u2010Dashboard.aspx."},{"key":"e_1_2_9_10_1","first-page":"1","article-title":"Identifying the \u2018Active Ingredients\u2019 of Socioeconomic Disadvantage for Youth Outcomes in Middle Childhood","volume":"36","author":"Carroll S. 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