Evidence-Based Practices for Medicaid Beneficiaries with Schizophrenia and Bipolar Disorder. Variation in Receipt of Evidence-based Practices by Beneficiary Characteristics


Identifying differences in the receipt of EBPs among certain groups of beneficiaries may help to target quality improvement efforts. Past research has identified disparities in the quality of care related to geography, race/ethnicity, and age. For example, those who live in rural or medically underserved areas may have more difficulty in accessing services. In addition, due to more recent onset of symptoms and other developmental challenges, younger beneficiaries may experience greater difficulty initiating and maintaining medications and engaging in other services. Finally, racial/ethnic differences in the receipt of services may be due to provider biases in treatment practices or racial/ethnic differences in attitudes or beliefs about certain treatments.

In this chapter, we describe the extent to which beneficiary race/ethnicity, gender, age, residence in a rural area, or residence in a physician or mental health provider shortage area was associated with the receipt of EBPs.

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