ArticleJournal of the American Academy of Child and Adolescent Psychiatry2022
Ongoing Disparities in Digital and In-Person Access to Child Psychiatric Services in the United States.
Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed.
- Comparing Physicians' Perceptions of Access to Behavioral Health Resources in Rural and Urban Practices.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Trends in Psychiatric Presentations Among Children and Adolescents in Alberta: A Pre-/Post-Pandemic Analysis (2017-2022).Child: care, health and development · 2026Article
- Artificial Intelligence in Child and Adolescent Psychiatry: A Narrative Review of Recent Clinical Applications and Ethical Considerations.Current psychiatry reports · 2026Review
- Virtual Care Remuneration Policy and Postdischarge Follow-Up Trends.JAMA network open · 2026Article
- Ethical Norms, Challenges, and Associated Factors in Telemental Health: Perspectives from Psychiatric and Psychological Professionals in China.Healthcare (Basel, Switzerland) · 2026Article
- Psychiatric predictors of first-onset suicidal thoughts and behaviors throughout preadolescence: longitudinal associations in a US population-based study.Translational psychiatry · 2026Article
- Health care access from the rural perspective: A narrative review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Review
- Measuring Reliable Internet Connectivity Among Families with Children: Secondary Analysis of a US National Survey.Journal of medical Internet research · 2025Article
- A Narrative Inquiry of East Asian Parents and Mental Health in Canada: Critical Openings for Anti-Racism Strategies in Knowledge Translation.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025Article
- Medications for opioid use disorder in traditional medicare beneficiaries: associations with age.Health affairs scholar · 2025Article
- Trends in mental health care and telehealth use across area deprivation: An analysis of electronic health records from 2016 to 2024.PNAS nexus · 2025Article
- Examining Treatment Options in Youth With Major Depressive Disorder: Observations From the TX-YDSRN Registry Study.Psychiatric research and clinical practice · 2025Article
- An equity indicator for assessing mental healthcare access: a national population case study.Epidemiology and psychiatric sciences · 2024Article
- Management of youth with suicidal ideation: Challenges and best practices for emergency departments.Journal of the American College of Emergency Physicians open · 2024Article
- Engaging primary care clinicians in the selection of implementation strategies for toddler social-emotional health promotion in community health centers.Families, systems & health : the journal of collaborative family healthcare · 2024Article
- A vision for implementing equitable early mental health and resilience support in pediatric primary care: A transdiagnostic, developmental approach.Families, systems & health : the journal of collaborative family healthcare · 2024Article
- The Effects of Social Determinants of Health on Child and Family Mental Health: Implications of the COVID-19 Pandemic and Beyond.Current psychiatry reports · 2023Review
- Revisiting best practices: a reflection on the online evaluation and treatment of ADHD and implications for future practice.Child and adolescent psychiatry and mental health · 2023Article
- Spatial Analysis of Access to Psychiatrists for US Military Personnel and Their Families.JAMA network open · 2023Article
- Urban vs. rural differences in psychiatric diagnoses, symptom severity, and functioning in a psychiatric sample.PloS one · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo estimate the number and geographic distribution of children and adolescents in the United States who reside in counties with neither child and adolescent psychiatrists nor sufficient Internet broadband to support telepsychiatry services.
methodThis analysis combined data from the Health Resources and Services Administration's Area Health Resource Files on child psychiatrist workforce with Federal Communications Commission information on broadband coverage to generate a composite of in-person and digital access to child psychiatric services throughout the United States. Using multivariable fixed-effects Poisson regression analysis, we estimated the number of children and adolescents (aged 5-19 years) without access to psychiatric services and examined disparities across counties in the United States.
resultsWe estimate that 6,035,402 children and adolescents in the United States (approximately 10%) have inadequate in-person and digital availability of child psychiatric services within their counties. Although this was true for only 3% of children and adolescents in urban counties, this applied to more than half (51%) in rural counties (adjusted odds ratio [AOR] = 2.71; 95% CI = 1.94, 3.78; p < .001). Likewise, only 3% of children and adolescents in high-income counties had insufficient digital and physical access, compared to more than 4 in 10 children and adolescents (41%) in low-income counties (AOR = 0.43; 95% CI = 0.30-0.61; p < .001). Counties with a higher density of Black and Hispanic residents had greater likelihood of service availability (p < 0.001), potentially a function of living in metropolitan communities.
conclusionAlthough telehealth holds promise for promoting access to child and adolescent psychiatric services, large disparities in overall access to services persists in rural and low-income communities.
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Registered trials
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.