Availability of Youth Services in U.S. Mental Health Treatment Facilities
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Despite concern about access to mental health (MH) services for youth, little is known about the specialty treatment infrastructure serving this population. We used national data to examine which types of MH treatment facilities (hospital- and community-based) were most likely to offer youth services and which types of communities were most likely to have this infrastructure. Larger (p < 0.001) and privately owned (p < 0.001) facilities were more likely to offer youth services. Rural counties, counties in which a majority of residents were nonwhite, and/or counties with a higher percentage of uninsured residents were less likely to have a community-based MH treatment facility that served youth (p < 0.001).
KeywordsChildren and adolescents Access to services Mental health facilities
Research reported in this publication was supported by the National Institute of Mental Health (K01MH095823). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
- American Academy of Child and Adolescent Psychiatry. (1989). Inpatient hospital treatment of children and adolescents. Retrieved July 15, 2015, from https://www.aacap.org/aacap/policy_statements/1989/Inpatient_Hospital_Treatment_of_Children_and_Adolescents.aspx.
- Area Health Resource Files (AHRF). Rockville, MD: US Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions; 2011–2012.Google Scholar
- Centers for Disease Control and Prevention. CDC Wonder: Bridged-Race Population Estimates 1990–2012 Request. (2013). Retrieved February 8, 2013 from http://wonder.cdc.gov/Bridged-Race-v2012.HTML.
- Heneghan, A., Garner, A. S., Storfer-Isser, A., Kortepeter, K., Stein, R. E., & Horwitz, S. M. (2008). Pediatricians’ role in providing mental health care for children and adolescents: Do pediatricians and child and adolescent psychiatrists agree? Journal of Developmental and Behavioral Pediatrics, 29(4), 262–269.CrossRefPubMedGoogle Scholar
- Hill, J. (2012). Behavioral healthcare: Five key factors are driving sector consolidation. Retrieved August 1, 2014 from http://www.triple-tree.com/blog/2012/03/20/behavioral-healthcare-five-key-factors-are-driving-sector-consolidation/.
- Honberg, R., Kimball, A., Diehl, S., Usher, L., & Fitzpatrick, M. (2011). State mental health cuts: The continuing crisis. Arlington, VA: National Alliance on Mental Illness.Google Scholar
- Kutscher, B. (2013). Investors eye behavioral health: Market sees growth as more payers cover treatment. Chicago: Modern Healthcare.Google Scholar
- Mental Health America. Hospitalization. (2015). Retrieved July 6, 2015, from http://www.mentalhealthamerica.net/hospitalization.
- Merikangas, K. R., He, J. P., Burstein, M., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989.CrossRefPubMedPubMedCentralGoogle Scholar
- Merikangas, K. R., He, J. P., Burstein, M., et al. (2011). Service utilization for lifetime mental disorders in U.S. adolescents: Results of the National Comorbidity Survey-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 50(1), 32–45.CrossRefPubMedGoogle Scholar
- National Association of State Mental Health Program Directors. (2014). The vital role of state psychiatric hospitals. Alexandria, VA: National Association of State Mental Health Program Directors Medical Directors Council.Google Scholar
- National Survey of Mental Health Treatment Facilities. (2008). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.Google Scholar
- O’Regan, D. (2013). Concerns raised over consolidating state’s mental health hospitals. The Legislative Gazette. Retrieved July 12, 2015 from http://www.legislativegazette.com/Articles-Main-Stories-c-2013-09-30-85251.113122-Concerns-raised-over-consolidating-states-mental-health-hospitals.html.
- Santilli, J. (2012). Consolidation in the behavioral healthcare market. Retrieved August 5, 2014, from http://knowsource.com/2012/10/consolidation-in-the-behavioral-healthcare-market/.
- Stata Statistical Software [computer program]. (2013). Version 13.1. College Station, TX.Google Scholar
- Stein, R. E., Horwitz, S. M., Storfer-Isser, A., Heneghan, A., Olson, L., & Hoagwood, K. E. (2008). Do pediatricians think they are responsible for identification and management of child mental health problems? Results of the AAP periodic survey. Ambulatory Pediatrics, 8(1), 11–17.CrossRefPubMedGoogle Scholar
- Stroul, B. (2002). Issue brief: System of care—A framework for system reform in children’s mental health. Washington, DC: Georgetown University Child Development Center, National Technical Assistance Center for Children’s Mental Health.Google Scholar
- Subcommitee on Attention-Deficit/Hyperactivity Disorder, Steering Committe on Quality Improvement and Management. (2011). ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics,. doi: 10.1542/peds.2011-2654.Google Scholar
- Substance Abuse and Mental Health Services Administration. (2013). Behavioral health, United States, 2012. HHS Publication No. (SMA) 13-4797. Rockville, MD: Substance Abuse and Mental Health Services Administration.Google Scholar
- Substance Abuse and Mental Health Services Administration. (2014). National Mental Health Services Survey (N-MHSS): 2010. Data on Mental Health Treatment Facilities. BHIS Series S-69, HHS Publication No. (SMA) 14-4837. Rockville, MD: Substance Abuse and Mental Health Services Administration.Google Scholar
- The Dartmouth Atlas of Health Care. (2008). ZIP code to HSA to HRR crosswalk file. Lebanon, NH: The Dartmouth Institute for Health Policy and Clinical Practice.Google Scholar
- The Dartmouth Atlas of Health Care. Data by Region. (2013). Retrieved from October 30, 2013 from http://www.dartmouthatlas.org/data/region/.
- The Henry J. Kaiser Family Foundation. (2013). State Health Facts: Health insurance coverage of children 0–18. Retrieved July 14, 2015 from http://kff.org/other/state-indicator/children-0-18/.
- The White House. (2013). Now is the time: The president’s plan to protect our children and our communities by reducing gun violence. Washington, DC: The White House.Google Scholar
- United States Census Bureau. (2015). Geographic Terms and Concepts—Core Based Statistical Areas and Related Statistical Areas. Retrieved July 1, 2015, from http://www.census.gov/geo/reference/gtc/gtc_cbsa.html.