2022
What Explains Changes in Availability of Specialty Mental Health Services in Organized Settings?
NEWTON H, HUMENSKY J, GOLDMAN H, BUSCH S. What Explains Changes in Availability of Specialty Mental Health Services in Organized Settings? Milbank Quarterly 2022, 100: 1166-1191. PMID: 36575952, PMCID: PMC9836237, DOI: 10.1111/1468-0009.12592.Peer-Reviewed Original ResearchConceptsSerious mental illnessCommunity mental health facilitiesMental health servicesMental health facilitiesMedicaid expansionEmergency walkPsychotropic medicationsHealth facilitiesNational Mental Health Services SurveyHealth servicesMental illnessSpecialty mental health organizationsSpecialty mental health servicesMental health service availabilityExpansion statesNon-Medicaid expansion statesAssertive community treatmentHealth service availabilityMedicaid expansion statesNew payment modelsCommunity outpatient settingsHealth Services SurveyFacility ownership typeFacility ownershipSupport servicesDoes 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 ParityUS Smoking Trends Among Young Adults with Serious Psychological Distress: 1997–2018
Friedman AS, Tam J, Busch SH. US Smoking Trends Among Young Adults with Serious Psychological Distress: 1997–2018. Journal Of General Internal Medicine 2021, 37: 2110-2112. PMID: 34378116, PMCID: PMC9198120, DOI: 10.1007/s11606-021-07013-y.Peer-Reviewed Original ResearchImplementation of collaborative care for depressive disorder treatment among accountable care organizations
Newton H, Busch SH, Brunette M, Maust DT, O’Malley J, Meara ER. Implementation of collaborative care for depressive disorder treatment among accountable care organizations. Medicine 2021, 100: e26539. PMID: 34232192, PMCID: PMC8270614, DOI: 10.1097/md.0000000000026539.Peer-Reviewed Original ResearchConceptsCollaborative care implementationAccountable care organizationsHealth care quality measuresCollaborative careMental health cliniciansCare quality measuresPatient RegistryHealth cliniciansCare implementationDepressive disorder treatmentBehavioral health cliniciansDepression treatment modelMental health treatmentCare organizationsMental health symptomsNational surveyCross-sectional analysisACO characteristicsDepression treatmentMost ACOsPatient populationCare useDetermine prevalenceTreatment outcomesCare modelInsurance Status and Continuity for Young Adults With First-Episode Psychosis
Golberstein E, Busch SH, Sint K, Rosenheck RA. Insurance Status and Continuity for Young Adults With First-Episode Psychosis. Psychiatric Services 2021, 72: 1160-1167. PMID: 33971726, PMCID: PMC8488003, DOI: 10.1176/appi.ps.201900571.Peer-Reviewed Original ResearchConceptsFirst-episode psychosisInsurance statusPeriods of uninsurancePublic insuranceMedical Expenditure Panel StudyCoordinated care interventionQuality of careSimilar age groupLevels of uninsuranceRAISE-ETPMedication adherenceTreatment continuityCare interventionsEpisode psychosisGeneral populationAge groupsStudy participantsBivariate comparisonsYoung adultsExperimental interventionSimilar ageUninsuranceLongitudinal dataAdultsInsurance changes
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 medicationsSurprise Bills from Outpatient Providers: a National Survey
Kyanko KA, Busch SH. Surprise Bills from Outpatient Providers: a National Survey. Journal Of General Internal Medicine 2020, 36: 846-848. PMID: 32671720, PMCID: PMC7947118, DOI: 10.1007/s11606-020-06024-5.Peer-Reviewed Original ResearchIncorrect Provider Directories Associated With Out-Of-Network Mental Health Care And Outpatient Surprise Bills
Busch SH, Kyanko KA. Incorrect Provider Directories Associated With Out-Of-Network Mental Health Care And Outpatient Surprise Bills. Health Affairs 2020, 39: 975-983. PMID: 32479225, PMCID: PMC7497897, DOI: 10.1377/hlthaff.2019.01501.Peer-Reviewed Original ResearchConceptsSpecialty mental health treatmentProvider directoriesGeneral medical servicesMental health servicesMental health treatmentMental health careHealth treatmentCommercial insuranceHealth servicesNetwork billsPatientsHealth careMedical servicesSurprise billsNational surveyAdditional monitoringProvidersPercentOutpatientsUse and Costs of Breast Cancer Screening for Women in Their 40s in a US Population With Private Insurance
Kunst N, Long JB, Xu X, Busch SH, Kyanko KA, Richman IB, Gross CP. Use and Costs of Breast Cancer Screening for Women in Their 40s in a US Population With Private Insurance. JAMA Internal Medicine 2020, 180: 799-801. PMID: 32202606, PMCID: PMC7147248, DOI: 10.1001/jamainternmed.2020.0262.Peer-Reviewed Original Research
2019
Effects of ACA Expansion of Dependent Coverage on Hospital-Based Care of Young Adults With Early Psychosis
Busch SH, Golberstein E, Goldman HH, Loveridge C, Drake RE, Meara E. Effects of ACA Expansion of Dependent Coverage on Hospital-Based Care of Young Adults With Early Psychosis. Psychiatric Services 2019, 70: 1027-1033. PMID: 31480928, PMCID: PMC7605277, DOI: 10.1176/appi.ps.201800492.Peer-Reviewed Original ResearchConceptsDependent coverage expansionYoung adultsPrivate insuranceInsurance coverageACA dependent coverage expansionAge groupsCoverage expansionEarly psychosis treatmentEmergency department visitsHospital-based treatmentCapita admissionsHospital-based service useTargeted age groupOlder age groupsDependent coveragePrivate insurance benefitsDifferences study designDepartment visitsPsychosis treatmentAffordable Care ActPrivate health plansEarly psychosisService useOverall insurance coverageRehabilitation servicesPropensity-matched study of enhanced primary care on contact with the criminal justice system among individuals recently released from prison to New Haven
Wang EA, Lin HJ, Aminawung JA, Busch SH, Gallagher C, Maurer K, Puglisi L, Shavit S, Frisman L. Propensity-matched study of enhanced primary care on contact with the criminal justice system among individuals recently released from prison to New Haven. BMJ Open 2019, 9: e028097. PMID: 31048315, PMCID: PMC6502013, DOI: 10.1136/bmjopen-2018-028097.Peer-Reviewed Original ResearchConceptsPrimary careControl groupClinic participantsPropensity scoreHealth systemPropensity-matched studyPrimary care systemCommunity health systemIncarceration exposureTransition clinicIndex dateService utilisationMAIN OUTCOMELower oddsQuasi-experimental studyClinic programAddiction servicesState-wide dataMental healthCare systemPopulation healthIncarceration daysCareIncarceration historyConnecticut DepartmentAssociation of State Dense Breast Notification Laws With Supplemental Testing and Cancer Detection After Screening Mammography.
Busch SH, Hoag JR, Aminawung JA, Xu X, Richman IB, Soulos PR, Kyanko KA, Gross CP. Association of State Dense Breast Notification Laws With Supplemental Testing and Cancer Detection After Screening Mammography. American Journal Of Public Health 2019, 109: 762-767. PMID: 30896987, PMCID: PMC6459654, DOI: 10.2105/ajph.2019.304967.Peer-Reviewed Original ResearchConceptsSupplemental screeningCancer detectionMore breast cancersMagnetic resonance imagingPossible benefitsBreast cancerSupplemental ultrasoundBreast biopsySupplemental testingResonance imagingUse of ultrasoundLogistic regressionScreening mammographyCancer diagnosisUltrasoundSignificant differencesSupplemental testsMore ultrasoundMammographyUS statesBreast cancer detectionMammogramsAssociationScreeningBiopsyThe 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
2017
Transitions Clinic Network: Challenges And Lessons In Primary Care For People Released From Prison
Shavit S, Aminawung JA, Birnbaum N, Greenberg S, Berthold T, Fishman A, Busch SH, Wang EA. Transitions Clinic Network: Challenges And Lessons In Primary Care For People Released From Prison. Health Affairs 2017, 36: 1006-1015. PMID: 28583958, DOI: 10.1377/hlthaff.2017.0089.Peer-Reviewed Original ResearchConceptsTransitions Clinic NetworkAcute care visitsPrimary careCare visitsMore acute care visitsCommunity health care systemHealth care systemAcute careChronic conditionsCommunity-based partnersClinic networkHealth disparitiesHealth equityCare systemHealth of peopleCareVulnerable populationsEarly engagementPatientsReferralVisitsMonthsPercentCorrectional systemReleaseEmergency Department-Initiated Buprenorphine for Opioid Dependence with Continuation in Primary Care: Outcomes During and After Intervention
D’Onofrio G, Chawarski MC, O’Connor P, Pantalon MV, Busch SH, Owens PH, Hawk K, Bernstein SL, Fiellin DA. Emergency Department-Initiated Buprenorphine for Opioid Dependence with Continuation in Primary Care: Outcomes During and After Intervention. Journal Of General Internal Medicine 2017, 32: 660-666. PMID: 28194688, PMCID: PMC5442013, DOI: 10.1007/s11606-017-3993-2.Peer-Reviewed Original ResearchConceptsIllicit opioid useOpioid usePrimary careHIV riskBrief interventionAddiction treatmentBuprenorphine groupEmergency Department-Initiated BuprenorphineCohort of patientsLong-term followLong-term outcomesFormal addiction treatmentSignificant differencesMain MeasuresSelfStudy entryUrine toxicologyBuprenorphine/Opioid dependenceED interventionsUrine resultsBuprenorphineTreatment engagementDrug useReferralPatientsIncreased 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 modelsPatients' success in negotiating out-of-network bills.
Kyanko KA, Busch SH. Patients' success in negotiating out-of-network bills. The American Journal Of Managed Care 2016, 22: 647-652. PMID: 28557516.Peer-Reviewed Original Research