This study examines rural and urban differences in the use of children's mental health services and the role that family income, health insurance, and mental health status play in explaining these differences. The analysis is based on three years of pooled data from the National Survey of America's Families (NSAF). Three research questions are examined: (1) What is the mental health need of children, age 6 to 17? (2) What percentage of children, with an identified mental health need, used a mental health service in the past year? What is the average number of mental health visits they received in the past year? (3) What role does family income and type of insurance have on the use of mental health services by children? Analyses show that rural and urban children both face substantial barriers to use of mental health services. Medicaid and SCHIP help all children, but particularly rural children who receive mental health care. This suggests that these public health insurance programs are important policy vehicles for enhancing the access of rural children to mental health care.
Cutler Institute for Health and Social Policy
Use of Mental Health Services by Rural Children
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Policy Brief on Federal Health Care Reform
In this policy brief, Dr. Andrew Coburn of the Muskie School discusses three of the main components of the Patient Protection and Affordable Care Act (ACA): health insurance coverage, delivery system improvement, and cost containment, highlighting some of the provisions of the law that have already been implemented and those where important implementation decisions will have to be made.Learn More