Policy levers to promote access to and utilization of children’s mental health services: a systematic review.
Open accessAbstract
Policies have potential to help families obtain behavioral healthcare for their children, but little is known about evidence for specific policy approaches. We reviewed evaluations of select policy levers to promote accessibility, affordability, acceptability, availability, or utilization of children's mental and behavioral health services. Twenty articles met inclusion criteria. Location-based policy levers (school-based services and integrated care models) were associated with higher utilization and acceptability, with mixed evidence on accessibility. Studies of insurance-based levers (mental health parity and public insurance) provided some evidence for affordability outcomes. We found no eligible studies of workforce development or telehealth policy levers, or of availability outcomes.
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“Promoting policies to improve access to mental health services, including telemental health, and communitybased primary prevention strategies to reduce exposure to adverse childhood experiences can help mitigate risk for MHCs before they begin (3,9).”
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- Authors
- So, M., McCord, R. F., & Kaminski, J. W.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- So, Marvin
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2019-01-02
- Volume
- 46
- Issue
- 3
- Pages
- 334-351
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- PMC
- PMC6531603
- OpenAlex
- W2907249043
- Cited by
- 73
- References
- 82
- Citations by year
- 2026: 6 · 2025: 14 · 2024: 10 · 2023: 12 · 2022: 11 · 2021: 11 · 2020: 7 · 2019: 2
- FWCI
- 1.19
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Oak Ridge Institute for Science and Education
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- child mental health services, behavioral health services, service utilization, access to services, affordability, acceptability, school-based services, integrated care model, mental health parity, public insurance, insurance coverage, workforce development, telehealth policy
- MeSH terms
- Child, Child, Preschool, Health Services Accessibility, Humans, Insurance, Psychiatric, Medical Assistance, Mental Health Services, Patient Acceptance of Health Care, Socioeconomic Factors, United States, Insurance Coverage, Policy
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