Impacts of a Medicaid Wraparound Model Demonstration Program on Youth Specialty Mental Health Services Use.
Effective coordination of mental health care is critical in Medicaid wraparound model programs for youth. This study examined participation over time in mental health services for youth diverted or transitioned from residential care to a Medicaid wraparound demonstration program. Youth in wraparound had more sustained use of mental health outpatient clinic services than did propensity score matched youth who were not in wraparound. However, the rate of outpatient clinic follow-up after inpatient discharge was no greater in wraparound. Routine assessment of wraparound programs' impacts on receipt of mental health care may inform the development of Medicaid wraparound program performance standards.
Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of Maryland, School of Medicine, Baltimore, MD, USA. angela.blizzard8@gmail.com.|Department of Psychology, Florida International University, Miami, FL, USA. angela.blizzard8@gmail.com.
Angela M
AM
Blizzard
School of Public Policy, University of Maryland, Baltimore County, Baltimore, MD, USA.
Lukas J
LJ
Glos
Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of Maryland, School of Medicine, Baltimore, MD, USA.
Sharon H
SH
Stephan
Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of Maryland, School of Medicine, Baltimore, MD, USA.
Deborah
D
Medoff
Department of Psychiatry, University of Maryland, School of Medicine, Baltimore, MD, USA.|Division of Psychiatric Services Research and Research Health Scientist, U.S. Department of Veteran Affairs (VA) VISN5 Mental Illness Research, Education, and Clinical Center, Baltimore, MD, USA.
Eric P
EP
Slade
D000293:Adolescent; D016497:Adolescent Health Services; D002648:Child; D003695:Delivery of Health Care; D005260:Female; D006801:Humans; D008297:Male; D008484:Medicaid; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D008605:Mental Health Services; D014481:United States