Skip to main content
Top
Published in: Administration and Policy in Mental Health and Mental Health Services Research 5/2016

01-09-2016 | Original Article

Availability of Youth Services in U.S. Mental Health Treatment Facilities

Authors: Janet R. Cummings, Brady G. Case, Xu Ji, Steven C. Marcus

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 5/2016

Login to get access

Abstract

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).
Literature
go back to reference 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. 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.
go back to reference Birmaher, B., Brent, D., Bernet, W., et al. (2007). Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 46(11), 1503–1526.CrossRefPubMed Birmaher, B., Brent, D., Bernet, W., et al. (2007). Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 46(11), 1503–1526.CrossRefPubMed
go back to reference Bishop, T. F., Press, M. J., Keyhani, S., & Pincus, H. A. (2014). Acceptance of insurance by psychiatrists and the implications for access to mental health care. JAMA Psychiatry, 71(2), 176–181.CrossRefPubMedPubMedCentral Bishop, T. F., Press, M. J., Keyhani, S., & Pincus, H. A. (2014). Acceptance of insurance by psychiatrists and the implications for access to mental health care. JAMA Psychiatry, 71(2), 176–181.CrossRefPubMedPubMedCentral
go back to reference Bogira, S. (2009). Starvation diet: Coping with shrinking budgets in publicly funded mental health services. Health Affairs, 28(3), 667–675.CrossRefPubMed Bogira, S. (2009). Starvation diet: Coping with shrinking budgets in publicly funded mental health services. Health Affairs, 28(3), 667–675.CrossRefPubMed
go back to reference Burns, B. J., Hoagwood, K., & Mrazek, P. J. (1999). Effective treatment for mental disorders in children and adolescents. Clinical Child and Family Psychology Review, 2(4), 199–254.CrossRefPubMed Burns, B. J., Hoagwood, K., & Mrazek, P. J. (1999). Effective treatment for mental disorders in children and adolescents. Clinical Child and Family Psychology Review, 2(4), 199–254.CrossRefPubMed
go back to reference Burns, B. J., Costello, E. J., Angold, A., et al. (1995). Children’s mental health service use across service sectors. Health Affairs, 14(3), 147–159.CrossRefPubMed Burns, B. J., Costello, E. J., Angold, A., et al. (1995). Children’s mental health service use across service sectors. Health Affairs, 14(3), 147–159.CrossRefPubMed
go back to reference Connolly, S. D., & Bernstein, G. A. (2007). Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 46(2), 267–283.CrossRefPubMed Connolly, S. D., & Bernstein, G. A. (2007). Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 46(2), 267–283.CrossRefPubMed
go back to reference Cummings, J. R., Wen, H., & Druss, B. G. (2013a). Improving access to mental health services for youth in the United States. Journal of the American Medical Association, 309(6), 553–554.CrossRefPubMedPubMedCentral Cummings, J. R., Wen, H., & Druss, B. G. (2013a). Improving access to mental health services for youth in the United States. Journal of the American Medical Association, 309(6), 553–554.CrossRefPubMedPubMedCentral
go back to reference Cummings, J. R., Wen, H., Ko, M., & Druss, B. G. (2013b). Geography and the Medicaid mental health care infrastructure: Implications for health care reform. JAMA Psychiatry, 70(10), 1084–1090.CrossRefPubMedPubMedCentral Cummings, J. R., Wen, H., Ko, M., & Druss, B. G. (2013b). Geography and the Medicaid mental health care infrastructure: Implications for health care reform. JAMA Psychiatry, 70(10), 1084–1090.CrossRefPubMedPubMedCentral
go back to reference Garfield, R. L., Zuvekas, S. H., Lave, J. R., & Donohue, J. M. (2011). The impact of national health care reform on adults with severe mental disorders. American Journal of Psychiatry, 168(5), 486–494.CrossRefPubMed Garfield, R. L., Zuvekas, S. H., Lave, J. R., & Donohue, J. M. (2011). The impact of national health care reform on adults with severe mental disorders. American Journal of Psychiatry, 168(5), 486–494.CrossRefPubMed
go back to reference Geller, J. L., & Biebel, K. (2006). The premature demise of public child and adolescent inpatient psychiatric beds: Part I: Overview and current conditions. The Psychiatric Quarterly, 77(3), 251–271.CrossRefPubMed Geller, J. L., & Biebel, K. (2006). The premature demise of public child and adolescent inpatient psychiatric beds: Part I: Overview and current conditions. The Psychiatric Quarterly, 77(3), 251–271.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference Hoagwood, K., Burns, B. J., Kiser, L., Ringeisen, H., & Schoenwald, S. K. (2001). Evidence-based practice in child and adolescent mental health services. Psychiatric Services, 52(9), 1179–1189.CrossRefPubMed Hoagwood, K., Burns, B. J., Kiser, L., Ringeisen, H., & Schoenwald, S. K. (2001). Evidence-based practice in child and adolescent mental health services. Psychiatric Services, 52(9), 1179–1189.CrossRefPubMed
go back to reference 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. 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.
go back to reference Jacobs, S., Wilk, J., Chen, D., Rae, D., & Steiner, J. (2005). Datapoints: Medicaid as a payer for services provided by psychiatrists. Psychiatric Services, 56(11), 1356.CrossRefPubMed Jacobs, S., Wilk, J., Chen, D., Rae, D., & Steiner, J. (2005). Datapoints: Medicaid as a payer for services provided by psychiatrists. Psychiatric Services, 56(11), 1356.CrossRefPubMed
go back to reference Kutscher, B. (2013). Investors eye behavioral health: Market sees growth as more payers cover treatment. Chicago: Modern Healthcare. Kutscher, B. (2013). Investors eye behavioral health: Market sees growth as more payers cover treatment. Chicago: Modern Healthcare.
go back to reference Mansbach, J. M., Wharff, E., Austin, S. B., Ginnis, K., & Woods, E. R. (2003). Which psychiatric patients board on the medical service? Pediatrics, 111(6 Pt 1), e693–e698.CrossRefPubMed Mansbach, J. M., Wharff, E., Austin, S. B., Ginnis, K., & Woods, E. R. (2003). Which psychiatric patients board on the medical service? Pediatrics, 111(6 Pt 1), e693–e698.CrossRefPubMed
go back to reference 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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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. 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.
go back to reference National Survey of Mental Health Treatment Facilities. (2008). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration. National Survey of Mental Health Treatment Facilities. (2008). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.
go back to reference Olfson, M., Blanco, C., Wang, S., Laje, G., & Correll, C. U. (2014). National trends in the mental health care of children, adolescents, and adults by office-based physicians. JAMA Psychiatry, 71(1), 81–90.CrossRefPubMed Olfson, M., Blanco, C., Wang, S., Laje, G., & Correll, C. U. (2014). National trends in the mental health care of children, adolescents, and adults by office-based physicians. JAMA Psychiatry, 71(1), 81–90.CrossRefPubMed
go back to reference Rones, M., & Hoagwood, K. (2000). School-based mental health services: A research review. Clinical Child and Family Psychology Review, 3(4), 223–241.CrossRefPubMed Rones, M., & Hoagwood, K. (2000). School-based mental health services: A research review. Clinical Child and Family Psychology Review, 3(4), 223–241.CrossRefPubMed
go back to reference Stata Statistical Software [computer program]. (2013). Version 13.1. College Station, TX. Stata Statistical Software [computer program]. (2013). Version 13.1. College Station, TX.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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. 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.
go back to reference 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. 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.
go back to reference 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. 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.
go back to reference 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. 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.
go back to reference 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. 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.
go back to reference 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. 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.
Metadata
Title
Availability of Youth Services in U.S. Mental Health Treatment Facilities
Authors
Janet R. Cummings
Brady G. Case
Xu Ji
Steven C. Marcus
Publication date
01-09-2016
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 5/2016
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-015-0685-2

Other articles of this Issue 5/2016

Administration and Policy in Mental Health and Mental Health Services Research 5/2016 Go to the issue