Access To Mental Health Care Increased But Not For Substance Use, While Disparities Remain
Open accessAbstract
We assessed whether early implementation of Affordable Care Act (ACA) Medicaid expansion and state health insurance exchanges increased access to mental health and substance use treatment among those in need and whether these changes differed by racial/ethnic group. We found that mental health treatment rates increased significantly but found no evidence of a reduction in the wide racial/ethnic disparities in mental health treatment that preceded ACA expansion from 2005 to 2013.
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It is likely that providers do not engage in evidence-based care, given its infrequent practice in the community.
“It is also likely that providers do not engage in evidence-based care, given its infrequent practice in the community.1,11,12”
From Using Machine Learning to Match Clients and Therapy Providers: Evaluating Clinical Quality and Cost of Care (2025) · cites this paper as [12]
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References 12 · Cited by 167
- Authors
- Creedon, T. B., & Cook, B. L.
- Affiliations
- Cambridge Health Alliance (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2016-06
- Volume
- 35
- Issue
- 6
- Pages
- 1017-1021
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- PMC
- PMC7033262
- OpenAlex
- W2417867510
- Cited by
- 167
- References
- 12
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 8 · 2023: 17 · 2022: 29 · 2021: 23 · 2020: 28 · 2019: 24 · 2018: 13 · 2017: 17 · 2016: 2 · 2013: 1
- FWCI
- 36.26
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Agency for Healthcare Research and Quality (R01HS021486)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- Affordable Care Act, Medicaid expansion, health insurance exchanges, access to mental health care, addiction treatment, racial and ethnic disparities, health insurance coverage, health policy implementation
- MeSH terms
- Adult, Mental Disorders, Health Services Accessibility, Humans, Insurance, Health, Medicaid, Mental Health Services, Middle Aged, Surveys and Questionnaires, United States, Insurance Coverage, Substance-Related Disorders, Healthcare Disparities, Patient Protection and Affordable Care Act
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