2023-09-28 14:46:10 +00:00
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abstract: 'Objectives: This study estimated unmet need for mental health services,
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identified population risk factors related to unmet need, and
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established baseline data to assess the impact of the Affordable Care
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Act (ACA) and the Mental Health Parity and Addiction Equity Act.
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Methods: National Health Interview Survey data (1997-2010) were
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analyzed. Results: Unmet need increased from 4.3 million in 1997 to 7.2
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million in 2010. Rates in 2010 were about five times higher for
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uninsured than for privately insured persons. In a multivariate logistic
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model, likelihood was higher among children (age two to 17), working-age
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adults (age 18-64), women, uninsured persons, persons with low incomes,
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in fair or poor health, and with chronic conditions. Conclusions: Unmet
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need is widespread, particularly among the uninsured. Expansion of
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coverage under the ACA, in conjunction with federal parity, should
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improve access, but ongoing monitoring of access is a research and
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policy priority. (Psychiatric Services 64:80-82, 2013; doi:
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10.1176/appi.ps.201200071)'
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affiliation: 'Roll, JM (Corresponding Author), Washington State Univ, Div Hlth Sci,
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POB 1495, Spokane, WA 99210 USA.
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Roll, John M., Washington State Univ, Div Hlth Sci, Spokane, WA 99210 USA.
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Kennedy, Jae, Washington State Univ, Dept Hlth Policy \& Adm, Spokane, WA 99210
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USA.
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Howell, Donelle, Washington State Univ, Coll Nursing, Spokane, WA 99210 USA.
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Tran, Melanie, Univ Colorado, Dept Hlth \& Behav Sci, Denver, CO 80202 USA.'
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author: Roll, John M. and Kennedy, Jae and Tran, Melanie and Howell, Donelle
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author-email: johnroll@wsu.edu
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author_list:
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- family: Roll
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given: John M.
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- family: Kennedy
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given: Jae
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- family: Tran
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given: Melanie
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- family: Howell
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given: Donelle
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da: '2023-09-28'
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doi: 10.1176/appi.ps.201200071
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files: []
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issn: 1075-2730
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journal: PSYCHIATRIC SERVICES
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keywords-plus: 'MEDICAL-CARE; EXCESS MORTALITY; INTERVIEW SURVEY; ACCESS; SCHIZOPHRENIA;
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DISORDERS'
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language: English
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month: JAN
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number: '1'
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number-of-cited-references: '15'
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orcid-numbers: Kennedy, James/0000-0002-4521-3590
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pages: 80-82
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papis_id: 30a306df02d42af0e51167844a59337f
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ref: Roll2013disparitiesunmet
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researcherid-numbers: Kennedy, James/A-5868-2008
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times-cited: '91'
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title: Disparities in Unmet Need for Mental Health Services in the United States,
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1997-2010
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000313299500015
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usage-count-last-180-days: '0'
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usage-count-since-2013: '32'
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volume: '64'
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web-of-science-categories: 'Health Policy \& Services; Public, Environmental \& Occupational
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Health;
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Psychiatry'
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year: '2013'
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