Evidence map›Paper›PMID 39090318›Full record

ArticleCommunity mental health journal2025

Effects of Texas State Agency Integration on Mental Health Service Use Among Individuals with Co-occurring Cognitive Disabilities and Mental Health Conditions.

Elizabeth M Stone, Andrew D Jopson, Nicholas J Seewald, Elizabeth A Stuart, Elizabeth Wise, Alexander D McCourt, Danielle German, Emma E McGinty

Abstract read
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In one paragraph

Article in Community mental health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Elizabeth M StoneDepartment of Psychiatry, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA. elizabeth.stone@rutgers.edu.ORCID 0000-0001-5676-1499
Andrew D JopsonDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Nicholas J SeewaldDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Elizabeth A StuartDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Elizabeth WiseDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Alexander D McCourtDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Danielle GermanDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Emma E McGintyDivision of Health Policy and Economics, Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.

Funding

The role of state agencies in mental health services for individuals with co-occurring intellectual and developmental disabilities and mental illnessF31MH131311 · NIMH · JOHNS HOPKINS UNIVERSITY · PI STONE, ELIZABETH · 2022 to 2022
$35k
AHRQ HHS T32 HS000029NIMH NIH HHS F31 MH131311NIMH NIH HHS F31MH131311
6 · The paper itself

Abstract

This study uses Texas's 2017 integration of the state disability and mental health agencies as a case study, combining interviews with Texas agency and advocacy organization leaders to examine perceptions of agency integration and augmented synthetic control analyses of 2014-2020 Medical Expenditure Panel Survey to examine impacts on mental health service use among individuals with co-occurring cognitive disabilities (including intellectual and developmental disabilities) and mental health conditions. Interviewees described the intensive process of agency integration and identified primarily positive (e.g., decreased administrative burden) impacts of integration. Quantitative analyses indicated no effects of integration on receipt of mental health-related services among people with co-occurring conditions. While leaders identified some potentially beneficial impacts of state agency integration, the limited impact of integration beyond the agency suggests that interventions at multiple levels of the service system, including those targeting providers, are needed to better meet the mental health service needs for this population.

Indexed as

Mental DisordersMental Health ServicesAdultFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareTexasAdministrative agenciesCognitive disabilityDevelopmental disabilityIntellectual disabilityMental healthState government

Identifiers

PMID39090318
PMCPMC11703680

What OpenQuestion holds

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Registered trials

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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.