title: The Implications of the Affordable Care Act for Behavioral Health Services Utilization.
abstract: This analysis estimates the number of currently uninsured adults who may gain coverage and access behavioral health (BH) services under the ACA. Data on BH status, socio-demographic characteristics, insurance coverage, and services utilization were drawn from the 2008-2012 National Survey on Drug Use and Health. Multivariate logistic regression modeling was used to estimate changes in services utilization under the ACA. Estimates indicate that 2.8 million adults may receive BH treatment through Medicaid expansions, and 3.1 million through participation in health insurance exchanges. This represents a 40% increase in BH services utilization, primarily for mental health services.
authors.affiliation: Analysis & Services Research Branch, Substance Abuse & Mental Health Services Administration, 1 Choke Cherry Road, Rockville, MD, 20857, USA. mir.ali@samhsa.hhs.gov.
authors.forename: Mir M
authors.initials: MM
authors.lastname: Ali
authors.affiliation: Analysis & Services Research Branch, Substance Abuse & Mental Health Services Administration, 1 Choke Cherry Road, Rockville, MD, 20857, USA.
authors.forename: Judith
authors.initials: J
authors.lastname: Teich
authors.affiliation: Analysis & Services Research Branch, Substance Abuse & Mental Health Services Administration, 1 Choke Cherry Road, Rockville, MD, 20857, USA.
authors.forename: Albert
authors.initials: A
authors.lastname: Woodward
authors.affiliation: Population Surveys Branch, Substance Abuse & Mental Health Services Administration, Rockville, USA.
authors.forename: Beth
authors.initials: B
authors.lastname: Han
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D062265:Health Insurance Exchanges; D006801:Humans; D016015:Logistic Models; D008297:Male; D008484:Medicaid; D017057:Medically Uninsured; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D015999:Multivariate Analysis; D058991:Patient Protection and Affordable Care Act; D014481:United States; D055815:Young Adult
keywords: Affordable Care Act; Behavioral health; Mental health; Substance abuse