Mental health services expenditures among children placed in out-of-home care.
This study examined Florida Medicaid mental health expenditures for children in out-of-home care. Child welfare and Medicaid administrative databases were analyzed using two-part models to identify characteristics associated with expenditures. Mental health expenditures were higher for older children, boys, children who were abused or lost their caregivers, or with a longer length of stay in out-of-home care. In contrast, African American children were less likely to have positive expenditures than White children, but among youth with positive expenditures, African Americans had higher expenditures. In addition, among youth with positive expenditures, substance use and affective disorders were associated with higher expenditures.
Department of Mental Health Law & Policy, Louis de la Parte Florida Mental Health Institute, University of South Florida, MHC 2732, 13301 Bruce B. Downs Blvd, Tampa, FL 33612-3807, USA. cclark@fmhi.usf.edu
Colleen
C
Clark
Svetlana
S
Yampolskaya
John
J
Robst
D000293:Adolescent; D000367:Age Factors; D002648:Child; D002649:Child Abuse; D002669:Child Welfare / Q000191:economics*; D002675:Child, Preschool; D003365:Costs and Cost Analysis; D003430:Cross-Sectional Studies; D005260:Female; D005431:Florida; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007345:Insurance Claim Review; D008297:Male; D008484:Medicaid; D008605:Mental Health Services / Q000191:economics*; D044469:Racial Groups / Q000706:statistics & numerical data; D012737:Sex Factors; D014481:United States