Financing mental health services for adolescents: a background paper.
Good mental health provides an essential foundation for normal growth and development through adolescence and into adulthood. Many adolescents, however, experience mental health problems that significantly impede the attainment of their full potential. The majority of these adolescents do not receive needed mental health services, in part because of financial obstacles to care. This article reviews the magnitude and impact of mental health problems during adolescence and highlights the importance of insurance coverage in assuring access to mental health services for adolescents. Significant limitations in private health insurance coverage of mental health services are outlined. Recent federal and state efforts to move toward parity in private insurance coverage between mental and physical health services are discussed, including an explanation of the role of Medicaid and the State Children's Health Insurance Program (SCHIP) in providing access to mental health services for adolescents. Finally, other elements that would facilitate financial access to essential mental health services for adolescents are presented.
Kapphahn
Cynthia
C
Division of Adolescent Medicine, Stanford University School of Medicine, Mountain View, California 94040, USA. kapp@stanford.edu
Morreale
Madlyn
M
Rickert
Vaughn I
VI
Walker
Leslie
L
D000293:Adolescent; D016497:Adolescent Health Services / Q000191:economics*; D002648:Child; D004608:Eligibility Determination; D006297:Health Services Accessibility / Q000191:economics*; D006801:Humans; D019458:Insurance Coverage / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D007358:Insurance, Psychiatric / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D008329:Managed Care Programs / Q000191:economics; D008484:Medicaid / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D008605:Mental Health Services / Q000191:economics* / Q000331:legislation & jurisprudence; D011320:Primary Health Care / Q000191:economics; D014481:United States