Factors that Affect Choice of Mental Health Provider and Receipt of Outpatient Mental Health Treatment.
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| Title: | Factors that Affect Choice of Mental Health Provider and Receipt of Outpatient Mental Health Treatment. |
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| Authors: | Jones, Jenna M., Ali, Mir M., Mutter, Ryan, Mosher Henke, Rachel, Gokhale, Manjusha, Marder, William, Mark, Tami |
| Source: | Journal of Behavioral Health Services & Research. Oct2018, Vol. 45 Issue 4, p614-626. 13p. 1 Diagram, 3 Charts. |
| Subjects: | Mental health personnel, Mental health services, Outpatient medical care, Medical care costs, Health insurance, Health insurance statistics, Mental illness treatment, Health services accessibility, Databases, Evaluation research, Psychiatry, Mental health, Logistic regression analysis, Research methodology, Research, Health maintenance organizations, Comparative studies |
| Geographic Terms: | United States |
| Abstract: | According to the US Department of Health and Human Services, 91 million adults live in mental health professional shortage areas and 10 million individuals have serious mental illness (SMI). This study examines how the supply of psychiatrists, severity of mental illness, out-of-pocket costs, and health insurance type influence patients' decisions to receive treatment and the type of provider chosen. Analyses using 2012-2013 MarketScan Commercial Claims data showed that patients residing in an area with few psychiatrists per capita had a higher predicted probability of not receiving follow-up care (46.4%) compared with patients residing in an area with more psychiatrists per capita (42.5%), and those in low-psychiatrist-supply areas had a higher predicted probability of receiving prescription medication only (10.2 vs 7.6%). Patients with SMI were more likely than those without SMI to obtain treatment. A $25 increase in out-of-pocket costs had marginal impact on patients' treatment choices. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | According to the US Department of Health and Human Services, 91 million adults live in mental health professional shortage areas and 10 million individuals have serious mental illness (SMI). This study examines how the supply of psychiatrists, severity of mental illness, out-of-pocket costs, and health insurance type influence patients' decisions to receive treatment and the type of provider chosen. Analyses using 2012-2013 MarketScan Commercial Claims data showed that patients residing in an area with few psychiatrists per capita had a higher predicted probability of not receiving follow-up care (46.4%) compared with patients residing in an area with more psychiatrists per capita (42.5%), and those in low-psychiatrist-supply areas had a higher predicted probability of receiving prescription medication only (10.2 vs 7.6%). Patients with SMI were more likely than those without SMI to obtain treatment. A $25 increase in out-of-pocket costs had marginal impact on patients' treatment choices. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 10943412 |
| DOI: | 10.1007/s11414-017-9575-6 |
