2019
The Effects of Federal Parity on Mental Health Services Use and Spending: Evidence From the Medical Expenditure Panel Survey
Drake C, Busch SH, Golberstein E. The Effects of Federal Parity on Mental Health Services Use and Spending: Evidence From the Medical Expenditure Panel Survey. Psychiatric Services 2019, 70: 287-293. PMID: 30691381, DOI: 10.1176/appi.ps.201800313.Peer-Reviewed Original ResearchConceptsMental health servicesMental health service useHealth service useMedical Expenditure Panel SurveyHealth servicesService useMental health specialty servicesAmbulatory mental health careStudy designAdults ages 26Use of outpatientFederal Mental Health ParityPrimary care servicesAddiction Equity ActFederal parity lawMental Health ParityMental health careMental health policyDifferences study designDifferent study designsFederal parityHealth ParitySpecialty servicesCare servicesAge 26
2018
Achieving Mental Health and Substance Use Disorder Treatment Parity: A Quarter Century of Policy Making and Research
Peterson E, Busch S. Achieving Mental Health and Substance Use Disorder Treatment Parity: A Quarter Century of Policy Making and Research. Annual Review Of Public Health 2018, 39: 1-15. PMID: 29328871, DOI: 10.1146/annurev-publhealth-040617-013603.Peer-Reviewed Original ResearchConceptsMental health care useMental healthMental health care coverageHealth care useAddiction Equity ActSevere mental illnessMental Health ParityHealth care coverageCare useHealth ParityParity lawsEffect of parityTreatment limitationsMental illnessCare coverageSignificant improvementCompliance issuesHealthParityIllness
2016
Examining psychotropic medication use among youth in the U.S. by race/ethnicity and psychological impairment
Cook BL, Carson NJ, Kafali EN, Valentine A, Rueda JD, Coe-Odess S, Busch S. Examining psychotropic medication use among youth in the U.S. by race/ethnicity and psychological impairment. General Hospital Psychiatry 2016, 45: 32-39. PMID: 28274336, PMCID: PMC7598773, DOI: 10.1016/j.genhosppsych.2016.12.004.Peer-Reviewed Original ResearchConceptsPsychotropic medication useMedication usePsychotropic medicationsPsychological impairmentClinical practice guidelinesHealth status characteristicsRisk-benefit ratioMedical Expenditure Panel SurveyMental health disordersLogistic regression modelsRace/ethnicityMedication prescriptionsPoor medicationPractice guidelinesMedicationsHealth disordersEthnic groupsEthnic disparitiesWhite youthImpairmentStatistical differenceCareful evaluationEthnic differencesAccurate targetingRegression models
2015
Consumers’ Valuation of Primary Care–Based Treatment Options for Mental and Substance Use Disorders
Epstein AJ, Barry CL, Fiellin DA, Busch SH. Consumers’ Valuation of Primary Care–Based Treatment Options for Mental and Substance Use Disorders. Psychiatric Services 2015, 66: 772-774. PMID: 25930049, PMCID: PMC4523443, DOI: 10.1176/appi.ps.201500077.Peer-Reviewed Original ResearchConceptsUsual careSubstance use disordersUse disordersTreatment optionsSpecialty treatmentMental disordersPrimary care-based treatmentPrimary care settingAlcohol use disorderCare visitsTreatment visitsPrimary careCollaborative careCare settingsTreatment settingsTreatment ratesTreatment typeCareDisordersTreatmentVisitsMost individualsOptionsSettingIndividuals
2014
Effect of the Affordable Care Act’s Young Adult Insurance Expansions on Hospital-Based Mental Health Care
Golberstein E, Busch SH, Zaha R, Greenfield SF, Beardslee WR, Meara E. Effect of the Affordable Care Act’s Young Adult Insurance Expansions on Hospital-Based Mental Health Care. American Journal Of Psychiatry 2014, 172: 182-189. PMID: 25263817, PMCID: PMC4314328, DOI: 10.1176/appi.ajp.2014.14030375.Peer-Reviewed Original ResearchConceptsDependent coverage provisionACA dependent coverage provisionEmergency department visitsInpatient admissionsEmergency departmentPsychiatric diagnosisDepartment visitsAffordable Care ActYoung adultsCoverage provisionPsychiatric disordersNon-substance use psychiatric disordersMore inpatient admissionsCalifornia emergency departmentsInsurance coveragePrimary outcome measurePsychiatric inpatient admissionsHospital-based servicesDependent coverage expansionPsychiatric emergency departmentMental health careSubstance use disordersCoverage expansionPrimary diagnosisGeneral HospitalUse of Hospital-Based Services Among Young Adults With Behavioral Health Diagnoses Before and After Health Insurance Expansions
Meara E, Golberstein E, Zaha R, Greenfield SF, Beardslee WR, Busch SH. Use of Hospital-Based Services Among Young Adults With Behavioral Health Diagnoses Before and After Health Insurance Expansions. JAMA Psychiatry 2014, 71: 404-411. PMID: 24554245, PMCID: PMC4140186, DOI: 10.1001/jamapsychiatry.2013.3972.Peer-Reviewed Original ResearchConceptsBehavioral health diagnosesHospital-based careInpatient admission ratesBehavioral health disordersEmergency departmentYoung adultsHealth diagnosisPrimary diagnosisAdmission ratesHealth disordersEmergency department visit ratesInsurance coverageEmergency department useHospital discharge dataUse of hospitalPopulation-based sampleMassachusetts' 2006 health reformSubstance use disordersInsurance coverage expansionBehavioral health needsHealth insurance coverageHealth reformHealth insurance expansionsHospital dischargeInpatient admissionsThe effects of federal parity on substance use disorder treatment.
Busch SH, Epstein AJ, Harhay MO, Fiellin DA, Un H, Leader D, Barry CL. The effects of federal parity on substance use disorder treatment. The American Journal Of Managed Care 2014, 20: 76-82. PMID: 24512166, PMCID: PMC3987861.Peer-Reviewed Original ResearchConceptsSubstance use disorder treatmentUse disorder treatmentSubstance use disorder servicesFederal parityDisorder treatmentPlan enrolleesDisorder servicesHealth plansHealth plan spendingPete Domenici Mental Health ParityGeneral medical servicesProportion of enrolleesAddiction Equity ActFederal parity lawMental Health ParityManagement of careState parity lawsParity lawsTreatment initiationPlan spendingPrivate insurance coverageHealth ParityTreatment engagementSelf-insured health plansEnrollees