Effects of Texas State Agency Integration on Mental Health Service Use Among Individuals with Co-occurring Cognitive Disabilities and Mental Health Conditions.

This study uses Texas's 2017 integration of the state disability and mental health agencies as a case study, combining interviews with Texas agency and advocacy organization leaders to examine perceptions of agency integration and augmented synthetic control analyses of 2014–2020 Medical Expenditure...

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Published in:Community Mental Health Journal Vol. 61; no. 1; pp. 111 - 122
Main Authors: Stone, Elizabeth M., Jopson, Andrew D., Seewald, Nicholas J., Stuart, Elizabeth A., Wise, Elizabeth, McCourt, Alexander D., German, Danielle, McGinty, Emma E.
Format: Article
Published: Springer Nature Jan2025
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Jan2025
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        atl: Effects of Texas State Agency Integration on Mental Health Service Use Among Individuals with Co-occurring Cognitive Disabilities and Mental Health Conditions.
      aug:
        au:
          Stone, Elizabeth M.
          Jopson, Andrew D.
          Seewald, Nicholas J.
          Stuart, Elizabeth A.
          Wise, Elizabeth
          McCourt, Alexander D.
          German, Danielle
          McGinty, Emma E.
        affil:
          https://ror.org/05vt9qd57 Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA
          https://ror.org/05vt9qd57 Center for Health Services Research, Rutgers Institute for Health, Health Care Policy, and Aging Research, New Brunswick, NJ, USA
          https://ror.org/00za53h95 Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
          https://ror.org/00b30xv10 Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
          https://ror.org/00za53h95 Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
          https://ror.org/00za53h95 Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA
          https://ror.org/00za53h95 Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
          https://ror.org/02r109517 Division of Health Policy and Economics, Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA
      su:
        Texas
        Mental illness treatment
        Mental health services
        Government agencies
        Interviewing
        State governments
        Cognition disorders treatment
        Outpatient services in hospitals
        Research funding
        Surveys
        Research methodology
        Integrated health care delivery
      sug:
        subj:
          Mental illness treatment
          Mental health services
          Government agencies
          Interviewing
          State governments
          Texas
          Other federal government public administration
          Other General Government Support
          Other local, municipal and regional public administration
          Other provincial and territorial public administration
          All Other Outpatient Care Centers
          Psychiatric and Substance Abuse Hospitals
          Offices of Mental Health Practitioners (except Physicians)
          Residential Mental Health and Substance Abuse Facilities
          Cognition disorders treatment
          Outpatient services in hospitals
          Research funding
          Surveys
          Research methodology
          Integrated health care delivery
      keyword:
        Administrative agencies
        Cognitive disability
        Developmental disability
        Intellectual disability
        Medical and Health Sciences Public Health and Health Services
        Mental health
        State government
        Administrative agencies
        Cognitive disability
        Developmental disability
        Intellectual disability
        Medical and Health Sciences Public Health and Health Services
        Mental health
        State government
      ab: This study uses Texas's 2017 integration of the state disability and mental health agencies as a case study, combining interviews with Texas agency and advocacy organization leaders to examine perceptions of agency integration and augmented synthetic control analyses of 2014–2020 Medical Expenditure Panel Survey to examine impacts on mental health service use among individuals with co-occurring cognitive disabilities (including intellectual and developmental disabilities) and mental health conditions. Interviewees described the intensive process of agency integration and identified primarily positive (e.g., decreased administrative burden) impacts of integration. Quantitative analyses indicated no effects of integration on receipt of mental health-related services among people with co-occurring conditions. While leaders identified some potentially beneficial impacts of state agency integration, the limited impact of integration beyond the agency suggests that interventions at multiple levels of the service system, including those targeting providers, are needed to better meet the mental health service needs for this population.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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