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Effects of Medicaid managed care policies on mental health service use among a national probability sample of children in the child welfare system
- Authors:
- RAGHAVAN Ramesh, et al
- Journal article citation:
- Children and Youth Services Review, 28(12), December 2006, pp.1482-1496.
- Publisher:
- Elsevier
Children in the child welfare system are dependent upon Medicaid to finance services for their considerable mental health needs. This study examines the effects of Medicaid policies on mental health service use among a national probability sample of children in the child welfare system. Data for this study came from the National Survey of Child and Adolescent Well-Being, the Caring for Children in Child Welfare study, and the Area Resource File. Weighted multivariate logistic regression analyses were conducted to estimate effects of policy variables on children's use of mental health services, controlling for child-level covariates and county-level health resources. Children in counties with behavioural carve-outs under Medicaid managed care had lower odds of inpatient mental health service use. Medicaid managed care enrolment and variations in type of provider reimbursement did not affect use of mental health services. Older age, greater need for mental health services, and higher levels of caregiver education were associated with increased odds of service use. Restrictions on use of inpatient mental healthcare caused by behavioural carve-outs may disproportionately affect children in the child welfare system who have high rates of such use. Careful adoption of carve-outs is necessary to assure appropriate care for these children.
The power of group work
- Author:
- FITZHERBERT Katrin
- Journal article citation:
- Young Minds Magazine, 74, January 2005, pp.28-29.
- Publisher:
- YoungMinds
Argues that group work is low-cost, easily accessible to children and non-stigmatising, and is proven to be effective, but is often ignored as viable intervention. In the USA it is an integral and respected strand of mainstream child and adolescent mental health services, that is, it has a career structure, professional organisation, journals, etc. and is supported by academic departments and a large body of research. There is some group work in the UK but it lacks the status of a valid professional activity and isn’t being taken up by NHS policy makers.
Comparative analysis of health care expenditures and presence of mental health conditions of HIV-affected versus non-HIV-affected children
- Authors:
- GANGULI Arijit, GOURLEY Dick, WHITE-MEANS Shelley
- Journal article citation:
- Journal of HIV/AIDS and Social Services, 11(3), July 2012, pp.271-290.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
As HIV/AIDS mortality rates improve, more HIV-infected parent are bearing HIV-negative children. This study seeks to investigate the health care resource expenditures of 136 American HIV-negative children residing in homes with HIV-positive parents. Using national medical cost data covering a six year period, the authors compared the health care expenditures (prescription and non-prescription) of HIV-affected and non-HIV-affected children, with a special focus on the impact of mental health conditions on expenditures. Surprisingly, post matching, multivariate analysis showed the HIV-affected children's total prescription expenditures were significantly lower than those of non-HIV-affected children. However, HIV-affected children with mental health conditions incurred greater: total health care expenditures (4.0 times), non-prescription health care expenditures (3.1 times), and prescription expenditures (8.7 times) compared to the respective expenditures of other children in the study. The authors suggest that further work should focus on the emotional, social and behavioural outcomes for children living in HIV-infected families.
Improving children and young people's mental health: the business case
- Author:
- CHILDREN AND YOUNG PEOPLE'S MENTAL HEALTH COALITION
- Publisher:
- Children and Young People's Mental Health Coalition
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
The need for action to promote and safeguard the mental health and wellbeing of children and young people is essential. One in ten children and young people have a diagnosable mental health problem, and the majority of mental illness has its roots in childhood and adolescence. The factors that have a major influence on children and young people’s mental health and wellbeing are well known, and evidence shows that action to address these factors can and does make a difference to the lives of these individuals and their families, to the communities in which they live and to society as a whole. This short paper sets out the evidence, the economic impact and the likely consequence if there is insufficient investment in the mental health and wellbeing of our children and young people. The Children and Young People’s Mental Health Coalition believe that the Community and Voluntary Sector is well placed to provide significant support to children and young people in relation to their mental health and wellbeing.
Economic costs and preference-based health-related quality of life outcomes associated with childhood psychiatric disorders
- Authors:
- PETROU Stavros, et al
- Journal article citation:
- British Journal of Psychiatry, 197(5), November 2010, pp.395-404.
- Publisher:
- Cambridge University Press
This study estimated the costs and preference-based health-related quality of life outcomes associated with a range of childhood psychiatric disorders during the eleventh year of life. Participants included 190 extremely preterm children and 141 term-born controls, who undertook psychiatric assessment using the Development and Well Being Assessment and the Kaufman-Assessment Battery for Children. Questionnaires completed by parents and teachers described the children’s utilisation of health, social and education services at the age of eleven. Parents also described their child’s health status using the Health Utilities Index health status classification system. The paper presents detailed costs and health utilities associated with psychiatric disorders for the preterm population and term-born population. The authors suggest that the results of the study should be used to inform future economic evaluations of interventions aimed at preventing childhood psychiatric disorders or alleviating their effects.
Pay attention please
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 30.11.00, 2000, pp.24-25.
- Publisher:
- Reed Business Information
Attention deficit hyperactivity disorder (ADHD) affects up to 1 percent of school-age children in the UK. As the condition can lead to family breakdowns, social services department need to work with their health colleagues to tackle the condition.
Measuring family caregiver perceptions of support in caring for children and youth with mental health concerns
- Authors:
- DAVIS Tamara S., et al
- Journal article citation:
- Journal of Social Service Research, 37(5), October 2011, pp.500-515.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
There are ongoing efforts in Ohio to support families experiencing significant child and adolescent emotional and behavioural health care needs. These services include the use of peer-support providers to assist families who are new to the mental health system. This study aimed to examine the association between caregiver perceptions of the level of support they receive from informal and formal resource providers and child mental health outcomes. The participants were 904 adult caregivers of youth receiving public mental health care services in Ohio. The caregivers completed a scale, the Family Caregiver Perceptions of Support Scale, which had been developed as part of the study to assess family caregiver perceptions of support prior to and at termination of services. Factor analysis identified 3 types of caregiver anticipated supports: informal support resources; support for treatment plan influence; and health care resources. These 3 domains were significantly and positively associated with one another, but did not uniformly correlate with youth mental health outcomes. The study provides preliminary evidence that treatment gains in youth mental health outcomes are observed when caregivers perceive support in treatment processes.
The course and correlates of mental health care received by young children: descriptive data from a longitudinal urban high-risk sample
- Author:
- THOMPSON Richard
- Journal article citation:
- Children and Youth Services Review, 27(1), January 2005, pp.39-50.
- Publisher:
- Elsevier
As part of a larger longitudinal study, a sample of 269 predominantly low-income and minority caregiver–child dyads were recruited when the children were infants, and received annual interviews from ages 2 to 7. Almost two-thirds of the sample had been reported as maltreated. Over the course of the study, 49.4% of the children were reported by their parents as needing services at some point in time and most of these eventually received services; the probability of needing and receiving services increased with child age. Far fewer children received services for internalizing (6.7%) and life stress (5.6%) problems than for externalizing (22.3%) or other psychosocial problems (23.4%). Maltreatment did not predict receipt of services, nor did most demographic factors. However, girls and African American children had reduced likelihood of receiving services, especially for externalizing problems. Girls were less likely than boys to be perceived as needing mental health treatment, but there was no discrepancy in perceived need between African American and white children. Child gender and ethnicity are associated with parent-identified child mental health needs and with the receipt of mental health services.
Steering a new course
- Author:
- COCKBURN Barbara
- Journal article citation:
- Care and Health Magazine, 92, 2004, pp.16-18.
- Publisher:
- Care and Health
Discusses concerns about plans to transfer 7 Department of Health bodies (National Institute for Mental Health in England, Valuing People Support Team, Health & Social Care Change Agent Team, National Child and Adolescent Mental Health Services Support Service, Integrated Care Network, Integrating Community Equipment Services, and Change for Children) to form the Care Services Improvement Partnership (CSIP) under SCIE. Looks at their record and the contribution they are expected to make to social care excellence. Gives facts about who makes up CSIP.
Promoting mental health
- Author:
- HOLLAND Steve
- Publisher:
- Community Practitioners' and Health Visitors' Association
- Publication year:
- 2000
- Pagination:
- 93p.
- Place of publication:
- London
This guide includes reference to selected pieces of research on the promotion of mental health, highlighting their positive aspects and the pitfalls encountered. It also suggests a framework for translating aspects of this work into practice. Contents include: the research background; interventions in mental health promotion in children and adolescents; and training and resources.