Logo image
Back
The Medical Home and Mental Health Services in Children and Youth with Special Health Care Needs
Journal article   Peer reviewed

The Medical Home and Mental Health Services in Children and Youth with Special Health Care Needs

Jessica E Rast, Anne M Roux, Gabrielle Connor, Tobechukwu H Ezeh, Lindsay Shea, Renee M Turchi and Paul T Shattuck
Maternal and child health journal, v 27(6), pp 1097-1106
01 Jun 2023
DOI: https://doi.org/10.1007/s10995-023-03652-1
PMID: 36988794
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Adolescent Child Comprehensive Health Care Disabled Children Health Expenditures Health Services Needs and Demand Humans Patient-Centered Care Mental Health Services
Children and youth with special health care needs (CYSHCN) commonly experience mental health concerns, but conditions are often not identified or treated within primary care. Mental health care is often not a primary focus of pediatric primary care, but the medical home model has potential to address these concerns more adequately. The purpose of this study is to examine the relationship between the medical home and use of mental health services in CYSHCN. Data came from the Medical Expenditure Panel Survey years 2015-2017, a nationally representative survey of health and healthcare in US families. The study included CYSHCN ages 6-17. We compared the use of mental health services, expenditures, and psychotropic medications across CYSHCN with and without a medical home using multivariable regression. 45% of CYSHCN received care within a medical home. CYSHCN with and without a medical home reported similar frequency of office-based mental health visits (21.2% versus 25.2%), average expenditures for visits ($147 versus $128), and psychotropic medications (11.9% versus 15.1%). Medical home status was not associated with office-based mental health visits, use of psychotropic medications, or cost for either. CYSHCN with mental health care needs face barriers to satisfactory care. Creating better connections between primary and mental health care could help to ameliorate this problem. Findings suggest the medical home, a more comprehensive primary care model, may not address mental health care needs of CYSHCN.

Metrics

15 Record Views
4 citations in Web of Science
2 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Web of Science research areas
Public, Environmental & Occupational Health
Logo image