Evidence map›Paper›PMID 36075862›Full record

ArticleJournal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc2023

Lagging coverage for mental health services among children and adolescents through home and community-based Medicaid waivers.

Jessica Keim-Malpass, Leeza Constantoulakis, Emily K Shaw, Lisa C Letzkus

Abstract read
In one paragraph

Article in Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

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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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Lagging coverage for mental health services among children and adolescents through home and community-based Medicaid waivers.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jessica Keim-MalpassDepartment of Acute and Specialty Care, School of Nursing, University of Virginia, Charlottesville, Virginia, USA.ORCID 0000-0002-7035-8556
Leeza ConstantoulakisDepartment of Acute and Specialty Care, School of Nursing, University of Virginia, Charlottesville, Virginia, USA.
Emily K ShawAtlantic Medical Group Child Development Center, Morristown, New Jersey, USA.
Lisa C LetzkusDepartment of Acute and Specialty Care, School of Nursing, University of Virginia, Charlottesville, Virginia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

problemMany states cover mental health home and community-based services (HCBS) for youth through 1915(c) Medicaid HCBS waivers that allow states to waive certain Medicaid eligibility criteria and define high-risk populations based on age, medical condition(s), and disability status. We sought to evaluate how States are covering children and adolescents with mental health needs through 1915(c) waivers compared to other youth waiver populations.

methodsData elements were extracted from Medicaid 1915(c) approved waivers applications for all included waivers targeting any pediatric age range through October 31, 2018. Normalization criteria were developed and an aggregate overall coverage score and level of funding per person per waiver were calculated for each waiver.

findingsOne hundred and forty-two waivers across 45 states were included in this analysis. Even though there was uniformity in the Medicaid applications, there was great heterogeneity in how waiver eligibility, transition plans, services covered, and wait lists were defined across group classifications. Those with mental health needs (termed serious emotional disturbance) represented 5% of waivers with the least annual funding per person per waiver.

conclusionsWe recommend greater links between public policy, infrastructure, health care providers, and a family-centered approach to extend coverage and scope of services for children and adolescents with mental health needs.

Indexed as

Community Mental Health ServicesHome Care ServicesMental Health ServicesAdolescentChildCommunity Health ServicesHumansMedicaidUnited Stateschildren with medical complexitydata standardseconomic evaluationfamily-centered carehealth policyMedicaidwaivers

Identifiers

PMID36075862
PMCPMC10087945

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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.