The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.
Exploring Barriers to Mental Health Care in the U.S.
Open accessAbstract
Access to care and treatment for mental health issues remains out of reach for most of the population in the United States even though more than one-fifth of U.S. adults (21%, 52.9 million) had a mental illness 1 in 2020. 2 Even among individuals with insurance, issues such as a lack of available providers, inadequate insurance coverage, high out-of-pocket costs, and fragmented care persist.This brief defines the barriers to accessing mental health care in the United States and highlights the key focus areas policymakers should prioritize to improve access, coverage, and affordability of care. This Isn't New…and It's Getting WorseFrom 2008 to 2019, the number of adults aged 18 or older with any mental illness increased from 39.8 million to 51.5 million, a nearly 30% increase.3 The pandemic has further exacerbated mental health problems for all ages; among adults aged 18 or older who had serious thoughts of suicide in 2020, more than one-fifth (21%) listed COVID-19 as the reason for those thoughts.2 While progress has been made to reduce the stigma around mental health issues, the problem persists and prevents many people from accessing care.4 The United States is also facing a growing youth mental health crisis.From 2009 to 2019, the share of high school students who reported experiencing persistent feelings of sadness or hopelessness increased 41%. 5 From 2010 to 2020, suicide death rates increased by 62% among adolescents aged 12 to 17. 6 In early 2021, emergency department visits for suicide attempts were 51% higher for adolescent girls and 4% higher for adolescent boys than in early 2019.7 Furthermore, in October 2021, the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, and the Children's Hospital Association declared child and adolescent mental health a national emergency.8
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“Barriers to treatment include limited availability of specially trained providers who have knowledge and experience in ACT, lack of transportation, cost concerns, long waiting lists or the disabling effects of pain itself.27”
From Design and implementation of online acceptance and commitment therapy with enhanced therapist support for chronic low back pain (ACT for PAIN) (2025) · cites this paper as [27]
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Collaborative care for patients with depression and chronic illnesses
Katon, W. J., Lin, E. H. B., Von Korff, M., Ciechanowski, P., Ludman, E. J., Young, B., Peterson, D., Rutter, C. M., McGregor, M., & McCulloch, D. (2010) · New England Journal of Medicine · doi:10.1056/nejmoa1003955 · Cited by 1,697
National Resident Matching Program
Beran, R. L. (1999) · Gastroenterology · doi:10.1053/gast.1999.0029900509a · Cited by 1,128
Weinberger, A. H., Gbedemah, M., Martinez, A. M., Nash, D., Galea, S., & Goodwin, R. D. (2018) · Psychological Medicine · doi:10.1017/s0033291717002781 · Cited by 716
Geographic Variation in the Supply of Selected Behavioral Health Providers
Andrilla, C. H. A., Patterson, D. G., Garberson, L. A., Coulthard, C., & Larson, E. H. (2018) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2018.01.004 · Cited by 419
Acceptance of insurance by psychiatrists and the implications for access to mental health care
Bishop, T. F., Press, M. J., Keyhani, S., & Pincus, H. A. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.2862 · Cited by 402
Missing clinical and behavioral health data in a large electronic health record (EHR) system
Madden, J. M., Lakoma, M. D., Rusinak, D., Lu, C. Y., & Soumerai, S. B. (2016) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocw021 · Cited by 181
Evolving Models of Integrated Behavioral Health and Primary Care
Ramanuj, P., Ferenchick, E. K., Docherty, M. J., Spaeth‐Rublee, B., & Pincus, H. A. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-0985-4 · Cited by 132
Jetty, A., Petterson, S. M., Westfall, J. M., & Jabbarpour, Y. (2021) · Journal of Primary Care & Community Health · doi:10.1177/21501327211023871 · Cited by 70
Differential Reimbursement of Psychiatric Services by Psychiatrists and Other Medical Providers
Mark, T. L., Olesiuk, W. J., Ali, M. M., Sherman, L. J., Mutter, R. L., & Teich, J. L. (2017) · Psychiatric Services · doi:10.1176/appi.ps.201700271 · Cited by 53
Privett, N., & Guerrier, S. (2020) · American Journal of Public Health · doi:10.2105/ajph.2020.305967 · Cited by 51
Benefits of integrated behavioral health services: The physician perspective.
Miller-Matero, L. R., Dykhuis, K. E., Albujoq, K., Martens, K. M., Fuller, B. S., Robinson, V., & Willens, D. E. (2016) · Families Systems & Health · doi:10.1037/fsh0000182 · Cited by 44
McGregor, B. S., Mack, D., Wrenn, G. L., Shim, R. S., Holden, K. B., & Satcher, D. S. (2015) · Psychiatric Services · doi:10.1176/appi.ps.201400095 · Cited by 26
Use of behavioral health care in Medicaid managed care carve‐out versus carve‐in arrangements
Charlesworth, C. J., Zhu, J. M., Horvitz-Lennon, M. V., & McConnell, K. J. (2021) · Health Services Research · doi:10.1111/1475-6773.13703 · Cited by 13
Government Steps Up Efforts to Enforce Parity Law
O’Connor, K. (2022) · Psychiatric News · doi:10.1176/appi.pn.2022.03.3.32 · Cited by 2
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Petsagourakis, D., Driscoll, C., Viswanadhan, K., & Lois, B. H. (2024) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2023.12.014 · Cited by 4
Jones Berkeley, S., Wedin, S., Patidar, S. M., Margolies, S. O., Goetzinger, A. M., Mauck, M. C., Wasan, A. D., & McCracken, L. M. (2025) · Pain Medicine · doi:10.1093/pm/pnaf026 · Cited by 3
Lee, K. A., Pisciotta, C., & Gopalan, G. (2025) · Journal of Public Child Welfare · doi:10.1080/15548732.2025.2518370 · Cited by 2
Kiebach, A. M., McAlpine, T. E., Cavanaugh, M. H., & Benzer, J. A. (2024) · JACCP JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY · doi:10.1002/jac5.2046 · Cited by 2
Kelley, H. H., Julian, A., Strand, L., & Aller, T. B. (2024) · Journal of Mental Health Research in Intellectual Disabilities · doi:10.1080/19315864.2024.2424759 · Cited by 1
Metadata
- Authors
- Association of American Medical Colleges, Modi, H., Orgera, K., Association of American Medical Colleges, Grover, A., & Association of American Medical Colleges
- ORCID
- Modi, Hemangi
- Published
- 2022-10-10
- OpenAlex
- W4387108957
- Cited by
- 22
- References
- 14
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 3 · 2023: 1
- Type
- report
- Language
- en
- Open access
- gold
- doi.org
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › 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
- access to mental health care, barriers to care, prevalence of mental disorders, mental health coverage, out-of-pocket costs, mental health workforce shortage, care fragmentation, mental health stigma, youth mental health crisis, adolescent suicide, COVID-19 pandemic mental health, mental health policy
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