abstract: 'Objectives: This study estimated unmet need for mental health services,

  identified population risk factors related to unmet need, and

  established baseline data to assess the impact of the Affordable Care

  Act (ACA) and the Mental Health Parity and Addiction Equity Act.

  Methods: National Health Interview Survey data (1997-2010) were

  analyzed. Results: Unmet need increased from 4.3 million in 1997 to 7.2

  million in 2010. Rates in 2010 were about five times higher for

  uninsured than for privately insured persons. In a multivariate logistic

  model, likelihood was higher among children (age two to 17), working-age

  adults (age 18-64), women, uninsured persons, persons with low incomes,

  in fair or poor health, and with chronic conditions. Conclusions: Unmet

  need is widespread, particularly among the uninsured. Expansion of

  coverage under the ACA, in conjunction with federal parity, should

  improve access, but ongoing monitoring of access is a research and

  policy priority. (Psychiatric Services 64:80-82, 2013; doi:

  10.1176/appi.ps.201200071)'
affiliation: 'Roll, JM (Corresponding Author), Washington State Univ, Div Hlth Sci,
  POB 1495, Spokane, WA 99210 USA.

  Roll, John M., Washington State Univ, Div Hlth Sci, Spokane, WA 99210 USA.

  Kennedy, Jae, Washington State Univ, Dept Hlth Policy \& Adm, Spokane, WA 99210
  USA.

  Howell, Donelle, Washington State Univ, Coll Nursing, Spokane, WA 99210 USA.

  Tran, Melanie, Univ Colorado, Dept Hlth \& Behav Sci, Denver, CO 80202 USA.'
author: Roll, John M. and Kennedy, Jae and Tran, Melanie and Howell, Donelle
author-email: johnroll@wsu.edu
author_list:
- family: Roll
  given: John M.
- family: Kennedy
  given: Jae
- family: Tran
  given: Melanie
- family: Howell
  given: Donelle
da: '2023-09-28'
doi: 10.1176/appi.ps.201200071
files: []
issn: 1075-2730
journal: PSYCHIATRIC SERVICES
keywords-plus: 'MEDICAL-CARE; EXCESS MORTALITY; INTERVIEW SURVEY; ACCESS; SCHIZOPHRENIA;

  DISORDERS'
language: English
month: JAN
number: '1'
number-of-cited-references: '15'
orcid-numbers: Kennedy, James/0000-0002-4521-3590
pages: 80-82
papis_id: 30a306df02d42af0e51167844a59337f
ref: Roll2013disparitiesunmet
researcherid-numbers: Kennedy, James/A-5868-2008
times-cited: '91'
title: Disparities in Unmet Need for Mental Health Services in the United States,
  1997-2010
type: article
unique-id: WOS:000313299500015
usage-count-last-180-days: '0'
usage-count-since-2013: '32'
volume: '64'
web-of-science-categories: 'Health Policy \& Services; Public, Environmental \& Occupational
  Health;

  Psychiatry'
year: '2013'