An Examination of Factors Affecting State Legislators' Support for Parity Laws for Different Mental Illnesses.

Mental health parity legislation can improve mental health outcomes. U.S. state legislators determine whether state parity laws are adopted, making it critical to assess factors affecting policy support. This study examines the prevalence and demographic correlates of legislators' support for state...

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Publicado en:Community Mental Health Journal Vol. 59; no. 1; pp. 122 - 132
Autores principales: Pilar, Meagan, Purtle, Jonathan, Powell, Byron J., Mazzucca, Stephanie, Eyler, Amy A., Brownson, Ross C.
Formato: Artículo
Publicado: Springer Nature Jan2023
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2023
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        10.1007/s10597-022-00991-1
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        atl: An Examination of Factors Affecting State Legislators' Support for Parity Laws for Different Mental Illnesses.
      aug:
        au:
          Pilar, Meagan
          Purtle, Jonathan
          Powell, Byron J.
          Mazzucca, Stephanie
          Eyler, Amy A.
          Brownson, Ross C.
        affil:
          Prevention Research Center, Brown School, Washington University in St. Louis, One Brookings Drive, 63130, St. Louis, MO, USA
          Department of Infectious Diseases, Washington University School of Medicine, Washington University in St. Louis, 63110, St. Louis, MO, USA
          Department of Public Health Policy & Management, Global Center for Implementation Science, New York University School of Global Public Health, New York University, 708 Broadway, 10003, New York, NY, USA
          Center for Mental Health Services Research, Brown School, Washington University in St. Louis, One Brookings Drive, 63130, St. Louis, MO, USA
          Division of Infectious Diseases, John T. Milliken Department of Medicine, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO, USA
          Department of Surgery (Division of Public Health Sciences) and Alvin J. Siteman Cancer Center, Washington University School of Medicine, Washington University in St. Louis, 63130, St. Louis, MO, USA
      su:
        United States
        Mental illness treatment
        Schizophrenia treatment
        Bulimia treatment
        Treatment of post-traumatic stress disorder
        Health policy
        Psychotherapy patients
        Government regulation
        Cross-sectional method
        State governments
        Population geography
        Sex distribution
        Psychosocial factors
        Mental depression
        Policy sciences
        Psychiatric treatment
        Anorexia nervosa treatment
        Insurance law
        Statistics
        Mental health laws
        Multiple regression analysis
      sug:
        subj:
          Mental illness treatment
          Schizophrenia treatment
          Bulimia treatment
          Treatment of post-traumatic stress disorder
          Health policy
          Psychotherapy patients
          Government regulation
          Cross-sectional method
          State governments
          Population geography
          Sex distribution
          Psychosocial factors
          Mental depression
          Policy sciences
          Psychiatric treatment
          United States
          All Other Insurance Related Activities
          Administration of Public Health Programs
          Offices of Mental Health Practitioners (except Physicians)
          Anorexia nervosa treatment
          Insurance law
          Statistics
          Mental health laws
          Multiple regression analysis
      keyword:
        Dissemination
        Implementation science
        Mental health
        Parity laws
        Policymaker
        State legislators
        Dissemination
        Implementation science
        Mental health
        Parity laws
        Policymaker
        State legislators
      ab: Mental health parity legislation can improve mental health outcomes. U.S. state legislators determine whether state parity laws are adopted, making it critical to assess factors affecting policy support. This study examines the prevalence and demographic correlates of legislators' support for state parity laws for four mental illnesses— major depression disorder, post-traumatic stress disorder (PTSD), schizophrenia, and anorexia/bulimia. Using a 2017 cross-sectional survey of 475 U.S. legislators, we conducted bivariate analyses and multivariate logistic regression. Support for parity was highest for schizophrenia (57%), PTSD (55%), and major depression (53%) and lowest for anorexia/bulimia (40%). Support for parity was generally higher among females, more liberal legislators, legislators in the Northeast region of the country, and those who had previously sought treatment for mental illness. These findings highlight the importance of better disseminating evidence about anorexia/bulimia and can inform dissemination efforts about mental health parity laws to state legislators.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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