State Strategies for Enhancing Access and Quality in Systems of Care for Youth with Complex Behavioral Health Needs
Abstract
The investigators conducted a qualitative study with state administrators and policymakers about the financing and policies that structure public systems of care for children with complex behavioral healthcare needs. The objective was to characterize diverse strategies states employed to enhance funding for, access to, and quality and effectiveness of home and community-based services (HCBS) for these youth. States report using a wide variety of creative solutions while navigating the unique needs and constraints of their political and economic environments. Findings can benefit public officials, researchers, and advocates by advancing knowledge-sharing of public policy-making and resourceful problem-solving.
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State mental health agencies, Medicaid authorities, and insurance market governing bodies can play an important role in the extent to which care coordination services are covered for children in their state and the adequacy of reimbursement rates for these services.
“State mental health agencies, Medicaid authorities, and insurance market governing bodies can play an important role in the extent to which these services are covered for children in their state and the adequacy of reimbursement rates for these services (Graaf & Snowden, 2021).”
From Adequate Care Coordination is Associated with Reduced Unmet Mental Health Needs for Children (2026) · cites this paper as Graaf & Snowden, 2021
Cites
Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors
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Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., Jensen-Doss, A., Hawley, K. M., Krumholz Marchette, L. S., Chu, B. C., et al. (2017) · American Psychologist · doi:10.1037/a0040360 · Cited by 862 · see citing works
Pathways Into and Through Mental Health Services for Children and Adolescents
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Sheppard, R., Deane, F. P., & Ciarrochi, J. (2018) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867417707818 · Cited by 73 · see citing works
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Graaf, G., Kitchens, K., Sweeney, M., & Thomas, K. C. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21020172 · Cited by 9 · see citing works
Self-citationAdequate Care Coordination is Associated with Reduced Unmet Mental Health Needs for Children
Graaf, G., Gigli, K., Hughes, P., & Thomas, K. C. (2026) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-026-01101-w
Self-citation
- Authors
- Graaf, G., & Snowden, L.
- Affiliations
- The University of Texas at Arlington (US)
- University of California, Berkeley (US)
- Corresponding author
- Graaf, Genevieve
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2020-07-07
- Volume
- 48
- Issue
- 2
- Pages
- 185-200
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- OpenAlex
- W3041363860
- Cited by
- 14
- References
- 7
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 2 · 2022: 1 · 2021: 2
- FWCI
- 0.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Social Sciences › Safety Research › Child Welfare and Adoption
- Keywords
- systems of care, home and community-based services, state policy, government funding, health care access, quality of care, child and adolescent mental health, state administrators, problem-solving strategies
- MeSH terms
- Adolescent, Child, Humans, Policy Making, Psychiatry, United States, Qualitative Research
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