Cutler Institute for Health and Social Policy

Population Health and Health Policy

David Lambert

Associate Research Professor
David Lambert

Office

420 Wishcamper Center

Contact Information

Phone: (207) 780-4502

Education: Tulane University, B.A., 1972; Indiana University, M.A., 1974; Brandeis University, Ph.D., 1986.

Research Interests: access to mental health services in rural areas, integration of primary care and behavioral health, and rural managed behavioral health programs

Professor Lambert teaches courses on Economic Issues in Health Care and Mental Health Policy. Lambert directs the Mental Health Program Area within the Institute for Health Policy and has over 15 years of experience in conducting mental health research with a focus on projects that improve access to, quality and effectiveness of mental health care to vulnerable populations. Lambert is a nationally recognized rural mental health services researcher and is widely published in this area. His research has focused on access to mental health services in rural areas, particularly coordination of primary care and mental health, recovery models, and evidence-based practice. Lambert has been an invited speaker at numerous national conferences and expert work group sessions. He is the past President of the National Association for Rural Mental Health Association (2003-2005).

Publications

Date Title Typesort descending
2012 Adolescent Alcohol Use: Do Risk and Protective Factors Explain Rural-Urban Differences?
2012 Integrating care in rural areas Book Chapter
2014 Integrated Care in Rural Areas Book Chapter
2010 Characteristics of Inpatient Psychiatric Units in Small Rural Hospitals Journal Article
2008 Substance Abuse by Youth and Young Adults in Rural America Journal Article
2005 Mental Health Encounters in Critical Access Hospital Emergency Rooms: A National Survey Report
2009 Maine Barriers to Integration Study: The View from Maine on the Barriers to Integrated Care and Recommendations for Moving Forward Report
2007 Rural Inpatient Psychiatric Units Improve Access to Community-Based Mental Health Services, but Medicare Payment Policy a Barrier Report
2002 State Licensure Laws and the Mental Health Professions: Implications for the Rural Mental Health Workforce. Executive Summary Report
2008 Maine Barriers to Integration Study: Environmental Scan Report
2001 Medicaid Managed Behavioral Health in Rural Areas Report
2010 Mental Health Problems Have Considerable Impact on Rural Children and Their Families Research and Policy Brief
2009 Rural Children Don't Receive the Mental Health Care They Need Research and Policy Brief
2009 Mental Health Services in Rural Jails Research and Policy Brief
2010 Mental Health Services in Rural Jails Working Paper
2010 Access to Mental Health Services and Family Impact of Rural Children With Mental Health Problems Working Paper
2008 Use of Mental Health Services by Rural Children Working Paper

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Dr. Ziller to speak on Rural Implementation and Impact of Medicaid Expansions

The impact of the ACA Medicaid expansion on health care coverage and access in rural areas is largely unknown and will depend on the different state policy contexts in which the expansions are implemented and on existing system capacity. Understanding how many rural residents are likely to become newly eligible for Medicaid under the ACA, as well as their characteristics and health status, will provide important information to aid policymakers in structuring outreach and enrollment strategies and ensuring that the healthcare infrastructure and delivery systems in rural areas can address the needs of these individuals.

On March 18th, Dr. Ziller, Deputy Director of the Maine Rural Health Research Center at the University of Southern Maine, will present via a SHARE webinar, nationally representative information identifying rural-urban differences among low-income non-elderly adults (18 to 65) in the following areas:

  • Medicaid eligibility, pre-ACA
  • Medicaid participation, pre-ACA
  • New Medicaid eligibility in 2014

Dr. Ziller will also analyze the characteristics associated with any rural-urban differences in the above areas. Characteristics to be considered include age, gender, employment, education, income, Census region, health status, current relationship to primary care provider, primary care supply, and FQHC availability.

This webinar is based on Dr. Ziller's research under a State Health Access Reform Evaluation (SHARE) grant to inform federal and state implementation of the ACA Medicaid expansion by estimating the size and characteristics of the rural population likely to be newly eligible.
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