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Impacts of a Medicaid Wraparound Model Demonstration Program on Youth Specialty Mental Health Services Use

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Abstract

Effective coordination of mental health care is critical in Medicaid wraparound model programs for youth. This study examined participation over time in mental health services for youth diverted or transitioned from residential care to a Medicaid wraparound demonstration program. Youth in wraparound had more sustained use of mental health outpatient clinic services than did propensity score matched youth who were not in wraparound. However, the rate of outpatient clinic follow-up after inpatient discharge was no greater in wraparound. Routine assessment of wraparound programs’ impacts on receipt of mental health care may inform the development of Medicaid wraparound program performance standards.

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Acknowledgments

Funding for this work was provided by the Maryland Department of Health and Mental Hygiene, 1915(c) Community Alternatives to Psychiatric and Residential Treatment Facilities Demonstration Waiver Program Management, Workforce Development and Evaluation, 13-10954G/M00B3400369. Assistance from Tim Santoni and the Systems Evaluation Center at the University of Maryland in obtaining data for this project is gratefully acknowledged.

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Authors and Affiliations

  1. Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of Maryland, School of Medicine, Baltimore, MD, USA

    Angela M. Blizzard BA, Sharon H. Stephan PhD & Deborah Medoff PhD

  2. Department of Psychology, Florida International University, Miami, FL, USA

    Angela M. Blizzard BA

  3. School of Public Policy, University of Maryland, Baltimore County, Baltimore, MD, USA

    Lukas J. Glos MA

  4. Department of Psychiatry, University of Maryland, School of Medicine, Baltimore, MD, USA

    Eric P. Slade PhD

  5. Division of Psychiatric Services Research and Research Health Scientist, U.S. Department of Veteran Affairs (VA) VISN5 Mental Illness Research, Education, and Clinical Center, Baltimore, MD, USA

    Eric P. Slade PhD

Authors
  1. Angela M. Blizzard BA
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  2. Lukas J. Glos MA
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  3. Sharon H. Stephan PhD
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  4. Deborah Medoff PhD
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Correspondence to Angela M. Blizzard BA.

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Blizzard, A.M., Glos, L.J., Stephan, S.H. et al. Impacts of a Medicaid Wraparound Model Demonstration Program on Youth Specialty Mental Health Services Use. J Behav Health Serv Res 44, 373–385 (2017). https://doi.org/10.1007/s11414-016-9520-0

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  • DOI: https://doi.org/10.1007/s11414-016-9520-0

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