ArticlePsychiatric services (Washington, D.C.)2015
The costs and benefits of reducing racial-ethnic disparities in mental health care.
Article in Psychiatric services (Washington, D.C.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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.
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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
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Nonsuicidal Self-Injury Among African American and Hispanic Adolescents and Young Adults: a Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2021Pooled it
- Reducing ethnic inequalities in experiences and outcomes of mental illness: A realist informed national programme evaluation.PLOS mental health · 2026Article
- Social Risk Factors and Racial and Ethnic Disparities in Health Care Resource Utilization Among Medicare Advantage Beneficiaries With Psychiatric Disorders.Medical care research and review : MCRR · 2024Article
- Use of behavioral health care in Medicaid managed care carve-out versus carve-in arrangements.Health services research · 2021Article
- Predictive model of multiple emergency department visits among adults: analysis of the data from the National Survey of Drug Use and Health (NSDUH).BMC health services research · 2021Article
- Reducing mental health disparities by increasing the personal relevance of interventions.The American psychologist · 2021Article
- Depression Treatment Status of Economically Disadvantaged African American Older Adults.Brain sciences · 2020Article
- Filling the Gaps in Adolescent Care and School Health Policy-Tackling Health Disparities through Sports Medicine Integration.Healthcare (Basel, Switzerland) · 2018Article
- Impact of psychiatric comorbidities on health care utilization and cost of care in multiple myeloma.Blood advances · 2018Article
- Trends in Racial-Ethnic Disparities in Access to Mental Health Care, 2004-2012.Psychiatric services (Washington, D.C.) · 2017Article
- The ACA's Dependent Coverage Expansion and Out-of-Pocket Spending by Young Adults With Behavioral Health Conditions.Psychiatric services (Washington, D.C.) · 2016Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivePrevious studies have found that timely mental health treatment can result in savings in both mental health and general medical care expenditures. This study examined whether reducing racial-ethnic disparities in mental health care offsets costs of care.
methodsData were from a subsample of 6,206 individuals with probable mental illness from the 2004-2010 Medical Expenditure Panel Survey (MEPS). First, disparities in mental health treatment were analyzed. Second, two-year panel data were used to determine the offset of year 1 mental health outpatient and pharmacy treatment on year 2 mental and general medical expenditures. Third, savings were estimated by combining results from steps 1 and 2.
resultsCompared with whites, blacks and Latinos with year 1 outpatient mental health care spent less on inpatient and emergency general medical care in year 2. Latinos receiving mental health care in year 1 spent less than others on inpatient general medical care in year 2. Latinos taking psychotropic drugs in year 1 showed reductions in inpatient general medical care. Reducing racial-ethnic disparities in mental health care and in psychotropic drug use led to savings in acute medical care expenditures.
conclusionsSavings in acute care expenditures resulting from eliminating disparities in racial-ethnic mental health care access were greater than costs in some but not all areas of acute mental health and general medical care. For blacks and Latinos, the potential savings from eliminating disparities in inpatient general medical expenditures are substantial (as much as $1 billion nationwide), suggesting that financial and equity considerations can be aligned when planning disparity reduction programs.
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