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Policy Levers to Promote Access to and Utilization of Children’s Mental Health Services: A Systematic Review

Authors
  • So, Marvin1, 2
  • McCord, Russell F.1, 2
  • Kaminski, Jennifer W.1
  • 1 Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, 4770 Buford Highway MS-E88, Atlanta, GA, 30341, USA , Atlanta (United States)
  • 2 Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA , Oak Ridge (United States)
Type
Published Article
Journal
Administration and Policy in Mental Health and Mental Health Services Research
Publisher
Springer US
Publication Date
Jan 02, 2019
Volume
46
Issue
3
Pages
334–351
Identifiers
DOI: 10.1007/s10488-018-00916-9
Source
Springer Nature
Keywords
License
Yellow

Abstract

Policies have potential to help families obtain behavioral healthcare for their children, but little is known about evidence for specific policy approaches. We reviewed evaluations of select policy levers to promote accessibility, affordability, acceptability, availability, or utilization of children’s mental and behavioral health services. Twenty articles met inclusion criteria. Location-based policy levers (school-based services and integrated care models) were associated with higher utilization and acceptability, with mixed evidence on accessibility. Studies of insurance-based levers (mental health parity and public insurance) provided some evidence for affordability outcomes. We found no eligible studies of workforce development or telehealth policy levers, or of availability outcomes.

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