STRENGTHENING MEDICAID-FUNDED MENTAL HEALTH COVERAGE FOR CHILDREN IN CHILD WELFAR
加强医疗补助资助的儿童心理健康覆盖范围
基本信息
- 批准号:8512678
- 负责人:
- 金额:$ 22.07万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2011
- 资助国家:美国
- 起止时间:2011-09-30 至 2015-09-29
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
Abstract
Children in the child welfare system possess entitlements to Medicaid, and are the most expensive to insure
for their mental health needs. Despite knowing that these children are expensive to insure, Medicaid agencies
have little empirical policy guidance on what child characteristics are associated with expenditures, what the
magnitude of these expenditures are over the duration of their stay in the welfare system, and the effects of
Medicaid policies that can assure access to services while containing costs. This information deficit has
resulted in Medicaid budgets being determined on the basis of expediency rather than appropriateness, and
this has affected the ability of Medicaid agencies to reduce mental health inequalities among maltreated
children.
For the first time in the field of child welfare research, members of this research team are assembling a
unique data set that links the respondents of a national survey of children coming into contact with child
welfare agencies (National Survey of Child and Adolescent Well-Being [NSCAW]) to their Medicaid claims data
(Medicaid Analytic Extract), along with information on Medicaid and mental health policies within their counties
of residence (from the Caring for Children in Child Welfare [CCCW]). Such a linkage combines the richness of
person-level information contained in survey data - such as need for mental health services identified using
standardized psychometric measures - with use and expenditure information contained in claims data. County-
level information about policies allows the examination of the effectiveness of Medicaid policies in managing
expenditures, while controlling for need.
Longitudinal data analysis on this uniquely constructed data set will (1) model relationships between
various domains of child need, and child-level mental health service utilization and expenditures among
NSCAW children; (2) estimate mental health service utilization and expenditure trajectories over the childhood
development cycle (ages 0- 18); and (3) examine effectiveness of Medicaid policies targeted at children in child
welfare on mental health service utilization and expenditures, and use and expenditure trajectories.
These specific aims are consonant with several of AHRQ's funding priorities, including the Child Health
Insurance Research Initiative, the Strategic Plan that focuses on children as a priority population, and AHRQ's
emphasis on low-income populations and on the elimination of disparities. This proposal by a new investigator
- a former AHRQ dissertation grantee - brings together a highly experienced team of senior investigators and
a state Medicaid policymaker, with considerable collective research and practice expertise in psychiatry, child
welfare and mental health services research, health and mental health economics and econometrics, and
Medicaid claims data analysis to answer these salient questions for a highly vulnerable population.
摘要
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Ramesh Raghavan其他文献
Ramesh Raghavan的其他文献
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{{ truncateString('Ramesh Raghavan', 18)}}的其他基金
Reducing Disparities in Mental Health Expenditure Among Children in Child Welfare
减少儿童福利中儿童心理健康支出的差异
- 批准号:
8452586 - 财政年份:2011
- 资助金额:
$ 22.07万 - 项目类别:
Reducing Disparities in Mental Health Expenditure Among Children in Child Welfare
减少儿童福利中儿童心理健康支出的差异
- 批准号:
8263964 - 财政年份:2011
- 资助金额:
$ 22.07万 - 项目类别:
Reducing Disparities in Mental Health Expenditure Among Children in Child Welfare
减少儿童福利中儿童心理健康支出的差异
- 批准号:
8114568 - 财政年份:2011
- 资助金额:
$ 22.07万 - 项目类别:
STRENGTHENING MEDICAID-FUNDED MENTAL HEALTH COVERAGE FOR CHILDREN IN CHILD WELFAR
加强医疗补助资助的儿童心理健康覆盖范围
- 批准号:
8084560 - 财政年份:2011
- 资助金额:
$ 22.07万 - 项目类别:
STRENGTHENING MEDICAID-FUNDED MENTAL HEALTH COVERAGE FOR CHILDREN IN CHILD WELFAR
加强医疗补助资助的儿童心理健康覆盖范围
- 批准号:
8335166 - 财政年份:2011
- 资助金额:
$ 22.07万 - 项目类别:
Securing Standards-Consistent Mental Health Care for Children in Child Welfare
确保儿童福利中儿童心理健康护理符合标准
- 批准号:
7561001 - 财政年份:2008
- 资助金额:
$ 22.07万 - 项目类别:
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