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Published in: The Journal of Behavioral Health Services & Research 2/2014

01-04-2014

County Workforce, Reimbursement, and Organizational Factors Associated with Behavioral Health Capacity in Health Centers

Authors: Emily Jones, PhD, MPP, Leighton Ku, PhD, MPH, Shelagh Smith, MPH, CHES, Michael Lardiere, LCSW

Published in: The Journal of Behavioral Health Services & Research | Issue 2/2014

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Abstract

This study describes on-site behavioral health treatment capacity in health centers in 2007 and examines whether capacity was associated with health center characteristics, county-level behavioral health workforce, and same-day billing restrictions. Cross-sectional data from the 2007 Area Resource File and Uniform Data System were linked with data on Medicaid same-day billing restrictions. Mental health treatment capacity was common; almost four in five health centers provided on-site mental health services. Additional services such as crisis counseling (20 %), treatment from a psychiatrist (29 %), and substance abuse treatment were offered by fewer health centers (51 % provide on-site services and only 20 % employ substance abuse specialists). In multivariate analysis, larger health centers, health centers located in counties with a larger behavioral health workforce per capita, and those located in the West and Northeast were more likely to have behavioral health capacity. Same-day billing restrictions were associated with lower odds of substance use treatment capacity and providing 24 hr crisis counseling services.
Footnotes
1
At the suggestion of QRS, the contractor that maintains the Area Resource File for HRSA, a crosswalk was purchased for $99.99 (http://​www.​zipinfo.​com/​). The crosswalk contains information from January 2011 and is offered by CD Light, Incorporated.
 
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Metadata
Title
County Workforce, Reimbursement, and Organizational Factors Associated with Behavioral Health Capacity in Health Centers
Authors
Emily Jones, PhD, MPP
Leighton Ku, PhD, MPH
Shelagh Smith, MPH, CHES
Michael Lardiere, LCSW
Publication date
01-04-2014
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 2/2014
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-013-9364-9

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