2022
Does Primary Care Fill the Gap in Access to Specialty Mental Health Care? A Mixed Methods Study
Kyanko KA, A. Curry L, E. Keene D, Sutherland R, Naik K, Busch SH. Does Primary Care Fill the Gap in Access to Specialty Mental Health Care? A Mixed Methods Study. Journal Of General Internal Medicine 2022, 37: 1641-1647. PMID: 34993864, PMCID: PMC8734538, DOI: 10.1007/s11606-021-07260-z.Peer-Reviewed Original ResearchConceptsSpecialty mental health carePrimary care providersMental health carePrimary careMental health treatmentMental health providersHealth careHealth treatmentHealth providersOutpatient mental health providersPatient-reported barriersSerious psychological distressAddress unmet needsAdults ages 18PCP rolePCP careSpecialty careKey ResultsOfPCP engagementCare providersClinician trainingSpecialty consultantsSpecialty servicesPatient experienceUnmet need
2021
Assessment of Perceptions of Mental Health vs Medical Health Plan Networks Among US Adults With Private Insurance
Busch SH, Kyanko K. Assessment of Perceptions of Mental Health vs Medical Health Plan Networks Among US Adults With Private Insurance. JAMA Network Open 2021, 4: e2130770. PMID: 34677592, PMCID: PMC8536951, DOI: 10.1001/jamanetworkopen.2021.30770.Peer-Reviewed Original ResearchConceptsMental health treatmentPrimary care practitionersMental health careHealth treatmentMental healthMental health practitionersUS adultsCare practitionersHealth provider networksPrivate insuranceHealth practitionersSpecialty mental healthNon-Hispanic white individualsHealth carePrimary care practicesAddiction Equity ActInsurance-related barriersMental Health ParitySerious psychological distressMental health networkHealth plan's networkOnline research panelStudy criteriaPatients' perceptionsHealth Parity
2020
National Trends in Outpatient Mental Health Service Use Among Adults Between 2008 and 2015
Germack HD, Drake C, Donohue JM, Golberstein E, Busch SH. National Trends in Outpatient Mental Health Service Use Among Adults Between 2008 and 2015. Psychiatric Services 2020, 71: 1127-1135. PMID: 32907475, PMCID: PMC7877566, DOI: 10.1176/appi.ps.201900576.Peer-Reviewed Original ResearchConceptsMental health outpatient visitsSpecialty mental health providersPrimary care physiciansMental health visitsOutpatient visitsPsychological distressHealth visitsOutpatient mental health service useOutpatient mental health visitsMental health service useOutpatient mental health servicesRepresentative Medical Expenditure Panel SurveyPatients' psychological distressHealth service useMedical Expenditure Panel SurveyMental health servicesBivariate logistic regressionType of treatmentHealth Workforce StudiesMental health providersHigh psychological distressPercentage of adultsProportion of respondentsCare physiciansPsychotropic medications
2017
Increased Service Use Among Children With Autism Spectrum Disorder Associated With Mental Health Parity Law
Stuart EA, McGinty EE, Kalb L, Huskamp HA, Busch SH, Gibson TB, Goldman H, Barry CL. Increased Service Use Among Children With Autism Spectrum Disorder Associated With Mental Health Parity Law. Health Affairs 2017, 36: 337-345. PMID: 28167724, PMCID: PMC8320748, DOI: 10.1377/hlthaff.2016.0824.Peer-Reviewed Original Research
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 modelsEstimating demand for primary care‐based treatment for substance and alcohol use disorders
Barry CL, Epstein AJ, Fiellin DA, Fraenkel L, Busch SH. Estimating demand for primary care‐based treatment for substance and alcohol use disorders. Addiction 2016, 111: 1376-1384. PMID: 26899802, PMCID: PMC4940268, DOI: 10.1111/add.13364.Peer-Reviewed Original ResearchConceptsAlcohol use disorderSubstance use disordersPrimary care settingPrimary careUsual careUse disordersCollaborative careCare settingsAlcohol treatmentPrimary care-based treatmentTreatment ratesSpecialty care settingsPrior treatment historyDrug treatment centersHigh societal costsDrug treatmentSUD treatmentCommon reasonDiagnostic criteriaTreatment historyTreatment centersDisorder treatmentSocietal costsCareDisorders
2014
Use 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 admissions