Milken Institute School of Public Health Poster Presentations (Marvin Center & Video)
Examining the Medicaid IMD Exclusion and its Implication in Mental Health Outcomes
Poster Number
84
Document Type
Poster
Status
Graduate Student - Masters
Abstract Category
Health Policy and Management
Keywords
Mental Health; Medicaid; Policy; Health Reform; Health Care
Publication Date
4-2017
Abstract
Recent political unrest regarding the Medicaid Institutions for Mental Disease (IMD) Exclusion has resurrected the provision among both policymakers and stakeholders as a gap in coverage for many Americans. This study sought to find connections between access to inpatient and community-based mental health services and patient outcomes. Data from the Substance Abuse and Mental Health Service Agency Uniform Reporting System was analyzed to identify significant findings among state spending on inpatient mental health services, state spending on ambulatory and community services, rates of Serious Mental Illness among adults aged 21-64, and rates of homelessness. It was found that states spending more on both inpatient and ambulatory and community mental health services have higher rates of SMI/1000 adults aged 21-64, and there is no significant relationship between state spending on both inpatient and ambulatory and community mental health services and rates of homelessness. This signals that simply increasing funding among existing programs or eliminating the Medicaid IMD Exclusion may not be a complete solution for improving mental health outcomes for adults aged 21-64 with SMI.
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Open Access
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Examining the Medicaid IMD Exclusion and its Implication in Mental Health Outcomes
Recent political unrest regarding the Medicaid Institutions for Mental Disease (IMD) Exclusion has resurrected the provision among both policymakers and stakeholders as a gap in coverage for many Americans. This study sought to find connections between access to inpatient and community-based mental health services and patient outcomes. Data from the Substance Abuse and Mental Health Service Agency Uniform Reporting System was analyzed to identify significant findings among state spending on inpatient mental health services, state spending on ambulatory and community services, rates of Serious Mental Illness among adults aged 21-64, and rates of homelessness. It was found that states spending more on both inpatient and ambulatory and community mental health services have higher rates of SMI/1000 adults aged 21-64, and there is no significant relationship between state spending on both inpatient and ambulatory and community mental health services and rates of homelessness. This signals that simply increasing funding among existing programs or eliminating the Medicaid IMD Exclusion may not be a complete solution for improving mental health outcomes for adults aged 21-64 with SMI.
Comments
To be presented at GW Annual Research Days 2017.