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
Connect with Cutler
What makes the Cutler Institute unique? We are committed to our clients and partners and work closely with you to examine the root of an issue and provide sustainable solutions. Learn more about our work and services, and connect with our team of experts.
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.