ArticleHealth services research2008
Medicaid managed care and the unmet need for mental health care among children with special health care needs.
Article in Health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed.
- Therapy use for U.S. school-aged children with developmental disabilities: State variation and determinants.Disability and health journal · 2022Article
- Risk-based contracting for high-need Medicaid beneficiaries: The Arkansas PASSE program.Health policy OPEN · 2021Article
- Medicaid Waivers for Youth with Severe Emotional Disturbance: Associations with Public Health Coverage, Unmet Mental Health Needs & Adequacy of Health Coverage.Community mental health journal · 2021Article
- Behavioral health service utilization: Trends in utilization within a patient-centered medical home for low-income children and women.Journal of family medicine and primary care · 2019Article
- Article
- Second-generation antipsychotic use among stimulant-using children, by organization of medicaid mental health.Psychiatric services (Washington, D.C.) · 2014Article
- Advances in Applying Treatment Integrity Research for Dissemination and Implementation Science: Introduction to Special Issue.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2013Article
- Stimulant and atypical antipsychotic medications for children placed in foster homes.PloS one · 2013Article
- Unmet need and problems accessing core health care services for children with autism spectrum disorder.Maternal and child health journal · 2012Article
- Gaussian-based routines to impute categorical variables in health surveys.Statistics in medicine · 2011Article
- Public managed care and service access in outpatient substance abuse treatment units.The journal of behavioral health services & research · 2011Article
- Quality of care for childhood attention-deficit/hyperactivity disorder in a managed care medicaid program.Journal of the American Academy of Child and Adolescent Psychiatry · 2010Article
- Falling short: continued challenges in meeting the mental health needs of children with special health care needs.Health services research · 2008Article
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo determine the association between Medicaid managed care pediatric behavioral health programs and unmet need for mental health care among children with special health care needs (CSHCN). DATA SOURCE: The National Survey of CSHCN (2000-2002), using subsets of 4,400 CSHCN with Medicaid and 1,856 CSHCN with Medicaid and emotional problems. Additional state-level sources were used. STUDY
designMultilevel models investigated the association between managed care program type (carve-out, integrated) or fee-for-service (FFS) and reported unmet mental health care need. DATA COLLECTION/EXTRACTION
methodsThe National Survey of CSHCN conducted telephone interviews with a sample representative at both the national and state levels. PRINCIPAL
findingsIn multivariable models, among CSHCN with only Medicaid, living in states with Medicaid managed care (odds ratio [OR]=1.81; 95 percent confidence interval: 1.04-3.15) or carve-out programs (OR=1.93; 1.01-3.69) were associated with greater reported unmet mental health care need compared with FFS programs. Among CSHCN on Medicaid with emotional problems, the association between managed care and unmet need was stronger (OR=2.48; 1.38-4.45).
conclusionsState Medicaid pediatric behavioral health managed care programs were associated with greater reported unmet mental health care need than FFS programs among CSHCN insured by Medicaid, particularly for those with emotional problems.
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