ArticleJournal of the American Academy of Child and Adolescent Psychiatry2016
Access to Care for Youth in a State Mental Health System: A Simulated Patient Approach.
Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 23 citations in OpenAlex.
- Mental Health Ghost Networks in Commercial Insurance Plans.JAMA health forum · 2026Article
- Safety Planning for Youth in the Emergency Department Who Have Suicide Risk.Journal of the American College of Emergency Physicians open · 2025Article
- Measures of the Availability and Accessibility of Behavioral Health Services: A Scoping Review.Psychiatric services (Washington, D.C.) · 2025Article
- Barriers and Facilitators for Implementing Resilience Coaching for Youth With Chronic Musculoskeletal Pain: Pediatric Rheumatologists' Perspectives.Arthritis care & research · 2025Article
- A Secret Shopper Study of Language Accessibility of Community-Based Behavioral Health Services for Children in Families Who Speak Spanish and English.The Journal of pediatrics · 2025Article
- Assessing Access to Trauma-Informed Outpatient Mental Health Services for Adolescents: A Mystery Shopper Study.Psychiatric services (Washington, D.C.) · 2024Article
- Gender Identity-, Race-, and Ethnicity-Based Discrimination in Access to Mental Health Care.American journal of health economics · 2024Article
- Mental health service availability for autistic youth in New York City: An examination of the developmental disability and mental health service systems.Autism : the international journal of research and practice · 2023Article
- An investigation of the information provided to the parents of young people with mental health needs on an internet forum.Internet interventions · 2021Article
- Engaging young people as simulated patients: a qualitative description of health professional educators' perspectives.BMJ simulation & technology enhanced learning · 2021Article
- Using Simulation as an Investigative Methodology in Researching Competencies of Clinical Social Work Practice: A Scoping Review.Clinical social work journal · 2021Article
- Association of Simulated Patient Race/Ethnicity With Scheduling of Primary Care Appointments.JAMA network open · 2020Article
- Parent Burden in Accessing Outpatient Psychiatric Services for Adolescent Depression in a Large State System.Psychiatric services (Washington, D.C.) · 2017Article
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo examine access to psychiatric care for adolescents with depression in outpatient specialty clinics within a state mental health system, using a simulated patient approach.
methodTrained callers posed as the mother of a 14-year-old girl with depression, following a script. A stratified random sample (n = 264) of 340 state-licensed outpatient mental health clinics that serve youth was selected. Clinics were randomly assigned to season and insurance condition. We examined whether access varied by season, clinic characteristics, and caller insurance type. Weighted logistic and linear mixed effects regression models were fitted to examine associations with appointment availability and wait times.
resultsAmong clinics at which a treatment appointment could be scheduled, appointment availability differed by season. Clinics that had participated in state-sponsored trainings targeting access were more available. Wait times for treatment appointments varied by season and region. Wait times in New York City were shorter than in some other regions. Although callers were 4.1 times more likely to be able to schedule a psychiatry appointment in the spring, wait times for psychiatry appointments were significantly longer in the spring than in the summer (49.9 vs. 36.7 days). Wait times for therapy appointments were significantly shorter in community than in hospital clinics (19.1 days vs. 35.3 days).
conclusionAccess to psychiatric care for youth with depression was found to be variable in a state system. State-sponsored trainings on strategies to reduce wait times appear to improve care access. The simulated patient approach has promise for monitoring the impact of health care policy reforms on care quality measures.
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