Evidence map›Paper›PMID 40571849›Full record

ArticleMaternal and child health journal2025

Improving Access to Mental Health Care among Children who Receive Subspecialist Care.

Kristin Hittle Gigli, Genevieve Graaf

Abstract read
In one paragraph

Article in Maternal and child health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

2 authors.

Kristin Hittle GigliUniversity of Texas at Arlington College of Nursing and Health Innovation, 411 S. Nedderman Drive, Arlington, TX, 76019, USA. kristin.gigli@uta.edu.ORCID http://orcid.org/0000-0002-3279-4162
Genevieve GraafSchool of Social Work, University of Texas at Arlington, Arlington, TX, USA.

Funding

Assessing the impacts of Medicaid Home and Community Based Waivers for children with Severe Emotional DisturbanceK01MH129991 · NIMH · UNIVERSITY OF TEXAS ARLINGTON · PI GRAAF, GENEVIEVE · 2022 to 2025
$683k
NIMH NIH HHS 1K01MH129991NIMH NIH HHS K01 MH129991
6 · The paper itself

Abstract

objectivesChildren and Youth with Special Healthcare Needs (CYSHCN) have high rates of unmet health care need, particularly mental health. To increase access to mental health care, policymakers support pediatric subspecialists providing mental health care. Yet it is unclear how great the need for this role might be. This study described mental health care needs among CYSHCN who needed pediatric subspeciality care, and rates at which needs go unmet.

methodsWe conducted a retrospective cohort study of 20,335 CYSHCN who needed subspecialist care from 2016 to 2021 using pooled National Survey of Children's Health data. Analysis described rates of mental health care need and unmet need.

results40% (N = 8,538) of CYSHCN who needed subspecialist care had mental health care needs. CYSHCN receiving care from a specialist had a significantly lower unmet need for mental health care, compared to those who did not receive specialist care (12.5% vs. 43.5%). Receiving subspecialist care was associated with a 24-percentage point decrease in unmet mental health need. CONCLUSIONS FOR PRACTICE: CYSHCN who receive subspecialist care have high rates of mental health care need, most need is met. Future work should explore strategies to support subspecialists in the provision of holistic, physical, and mental, health care without assuming roles as mental health care providers.

Indexed as

Children with DisabilitiesHealth Services AccessibilityMental Health ServicesAdolescentChildChild, PreschoolCohort StudiesFemaleHealth Services Needs and DemandHumansMaleRetrospective StudiesSpecializationAccess to careChild mental healthChildren and youth with special health care needsMental health access

Identifiers

PMID40571849
PMCPMC13636203

What OpenQuestion holds

Textmetadata
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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.