Evidence map›Paper›PMID 34320821›Full record

ArticlePsychiatric services (Washington, D.C.)2022

Impacts of COVID-19 on Mental Health Safety Net Services for Youths: A National Survey of Agency Officials.

Jonathan Purtle, Katherine L Nelson, Sarah McCue Horwitz, Lawrence A Palinkas, Mary M McKay, Kimberly E Hoagwood

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 23 citations in OpenAlex.

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  18. Impact of the COVID-19 Pandemic on Child and Adolescent Mental Health Policy and Practice Implementation.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Jonathan PurtleDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia (Purtle, Nelson); Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York City (Horwitz, Hoagwood); Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles (Palinkas); Brown School, Washington University in St. Louis, St. Louis (McKay).
Katherine L NelsonDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia (Purtle, Nelson); Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York City (Horwitz, Hoagwood); Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles (Palinkas); Brown School, Washington University in St. Louis, St. Louis (McKay).
Sarah McCue HorwitzDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia (Purtle, Nelson); Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York City (Horwitz, Hoagwood); Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles (Palinkas); Brown School, Washington University in St. Louis, St. Louis (McKay).
Lawrence A PalinkasDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia (Purtle, Nelson); Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York City (Horwitz, Hoagwood); Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles (Palinkas); Brown School, Washington University in St. Louis, St. Louis (McKay).
Mary M McKayDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia (Purtle, Nelson); Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York City (Horwitz, Hoagwood); Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles (Palinkas); Brown School, Washington University in St. Louis, St. Louis (McKay).
Kimberly E HoagwoodDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia (Purtle, Nelson); Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York City (Horwitz, Hoagwood); Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles (Palinkas); Brown School, Washington University in St. Louis, St. Louis (McKay).
Drexel University · USNew York University · US

Funding

National Survey of State Policy Decision-making and SimulationP50MH113662 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HORWITZ, SARAH MCCUE · 2019 to 2022
$6.9M
NIMH NIH HHS P50 MH113662
6 · The paper itself

Abstract

objectiveMental health agencies provide critical safety net services for youths. No research has assessed impacts of the COVID-19 pandemic on services these agencies provide or youths they serve. This study sought to characterize agency officials' perceptions of the pandemic's impacts on youths and challenges to providing youth services during the pandemic and to examine associations between these challenges and impacts.

methodsSurveys were completed in September-October 2020 by 159 state or county mental health agency officials from 46 states. Respondents used 7-point scales (higher rating indicated more severe impact or challenge) to rate the pandemic's impact on youth mental health issues, general service challenges, and telepsychiatry service challenges across patient, provider, and financing domains. Multiple linear regression models estimated associations between service challenges (independent variables) and pandemic impacts (dependent variables).

resultsMost agency officials perceived the pandemic as having disproportionately negative mental health impacts on socially disadvantaged youths (serious impact, 72%; mean rating=5.85). Only 15% (mean=4.29) perceived the pandemic as having a seriously negative impact on receipt of needed youth services. Serious service challenges were related to youths' lack of reliable equipment or Internet access for telepsychiatry services (serious challenge, 59%; mean=5.47) and the inability to provide some services remotely (serious challenge, 42%, mean=4.72). In regression models, the inability to provide some services remotely was significantly (p≤0.01) associated with three of five pandemic impacts.

conclusionsOfficials perceived the COVID-19 pandemic as exacerbating youth mental health disparities but as not having a dramatic impact on receipt of needed services.

Indexed as

COVID-19PsychiatryTelemedicineAdolescentHumansMental HealthPandemicsChild psychiatry/generalCoronavirus/COVID-19Public healthPublic policy issuesService delivery systems

Identifiers

PMID34320821
PMCPMC8799776
OpenAlexW3183183040

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.