Access to Services & Benefits

In 2020, 53 million adults in the United States had a mental health condition and 40 million people ages 12 and older had a substance use disorder (SUD). The COVID-19 public health emergency (PHE) exacerbated mental health conditions and SUDs at a time when access to in-person care was restricted due to safety concerns.

The U.S. behavioral health (BH) workforce faces significant shortages and distribution disparities, hindering access to quality care and worsening health outcomes. A comprehensive, centralized database of BH providers is vital for advancing patient-centered outcomes research (PCOR), comparative effectiveness research (CER), and evidence-based policymaking.

The goal of this study was to examine the extent to which Medicaid providers who deliver behavioral health services shifted their practices to mostly tele-behavioral health services during the COVID-19 pandemic.

The Substance Abuse and Mental Health Services Administration (SAMHSA) has recently developed guidelines for establishing a comprehensive crisis response system for behavioral health. Per these guidelines, a comprehensive system should provide individuals in crisis with “someone to call,” “someone to respond,” and “a place to go” to receive crisis response services.

Insufficient access to behavioral health (BH) care and the inability to get timely care are significant problems in the United States. Concerns about BH network adequacy have been prompted by evidence of narrow networks for BH, variation in network adequacy across plans, and evidence that network adequacy impacts access to certain specialties.

State Medicaid programs have the option to cover supported employment services, but use of these services by the Medicaid population has not been widely studied.

A 2020 study examined the feasibility of using substance use disorder (SUD) patient intake assessment data as source of information for treatment planning.

This one-pager describes the research questions and objectives of a project exploring the use of custody relinquishment, or when children enter foster care primarily to obtain behavioral health or disability services.

This two-pager describes several child welfare and Medicaid data linking projects and lessons learned from those projects. For example, the brief highlights key lessons such as the value in providing states with support in navigating data governance and in strengthening and harmonizing data infrastructure on child welfare service.

ASPE serves as a facilitator for HHS to advance equity in several ways.