Mental health and substance-use reforms - Milestones reached, challenges ahead

New England Journal of Medicine

Volumn 375, Issue 7, 2016, Pages 688-695

  Huskamp, Haiden A ^a   Iglehart, John K ^b  

^a HARVARD MEDICAL SCHOOL   (United States)

^b National Journal   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; ALCOHOL ABUSE; AMERICAN; ARTICLE; DRUG ABUSE; GENERAL PRACTITIONER; HEALTH CARE ACCESS; HEALTH CARE FINANCING; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH INSURANCE ELIGIBILITY; HUMAN; MEDICAL SPECIALIST; MENTAL DISEASE; MENTAL HEALTH SERVICE; NEUROLOGIST; PREVALENCE; PRIORITY JOURNAL; SUBSTANCE ABUSE; SYMPTOMATOLOGY; ECONOMICS; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH INSURANCE; INSURANCE; LEGISLATION AND JURISPRUDENCE; MENTAL DISORDERS; MENTAL HEALTH; SUBSTANCE-RELATED DISORDERS; SUPPLY AND DISTRIBUTION; TRENDS; UNITED STATES;

HEALTH EXPENDITURES; HEALTH SERVICES ACCESSIBILITY; HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; MENTAL DISORDERS; MENTAL HEALTH; MENTAL HEALTH SERVICES; PATIENT PROTECTION AND AFFORDABLE CARE ACT; SUBSTANCE-RELATED DISORDERS; UNITED STATES;

EID: 84982161013     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJMhpr1601861     Document Type: Article

References (55)

1. Whiteford HA, Degenhardt L, Rehm J, et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet 2013; 382: 1575-86.
2. National Comorbidity Survey. NCS-R tables: Table 1. Lifetime prevalence of DSM-IV/WMH-CIDI disorders by sex and cohort, updated July 19, 2007 (http://www.hcp.med.harvard.edu/ncs/ftpdir/NCS-R-Lifetime-Prevalence-Estimates.pdf).
3. 2015 State of health care quality. Washington, DC: National Committee for Quality Assurance, 2015 (http://www.ncqa.org/ReportCards/HealthPlans/StateofHealthCareQuality/2015TableofContents.aspx).
4. Substance Abuse and Mental Health Services Administration. Receipt of services for behavioral health problems: Results from the 2014 National Survey on Drug Use and Health. NSDUH Data review. September 2015 (http://www.samhsa.gov/data/sites/default/files/NSDUH-DR-FRR3-2014/NSDUH-DR-FRR3-2014/NSDUH-DR-FRR3-2014.htm).
5. Results from the 2013 National Survey on Drug Use and Health: summary of national findings. Rockville, MD: Substance Abuse and Mental Health Services Administration, September 2014 (http://www.samhsa.gov/data/sites/default/files/NSDUHresultsPDFWHTML2013/Web/NSDUHresults2013.htm).
6. Projections of national expenditures for treatment of mental and substance use disorders, 2010-2020. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014 (http://store.samhsa.gov/shin/content//SMA14-4883/SMA14-4883.pdf).
7. Chapter 4: Behavioral health in the Medicaid program - people, use, and expenditures. In: Report to Congress on Medicaid and CHIP. Washington, DC: Medicaid and CHIP Payment and Access Commission, June 2015 (https://www.macpac.gov/publication/behavioral-health-in- The-medicaid-program%E2%80%95people-use- And-expenditures/).
8. Barry CL, Gabel JR, Frank RG, Hawkins S, Whitmore HH, Pickreign JD. Design of mental health benefits: still unequal after all these years. Health Aff (Millwood) 2003; 22: 127-37.
9. Thomas KC, Ellis AR, Konrad TR, Holzer CE, Morrissey JP. County-level estimates of mental health professional shortage in the United States. Psychiatr Serv 2009; 60: 1323-8.
10. An action plan for behavioral health workforce development: A framework for discussion. Rockville, MD: Substance Abuse and Mental Services Administration, 2007 (http://attcnetwork.org/find/respubs/docs/WorkforceActionPlan.pdf).
11. Bishop TF, Seirup JK, Pincus HA, Ross JS. Population of US practicing psychiatrists declined, 2003-13, which may help explain poor access to mental health care. Health Aff (Millwood) 2016; 35: 1271-7.
12. Bishop TF, Press MJ, Keyhani S, Pincus HA. Acceptance of insurance by psychiatrists and the implications for access to mental health care. JAMA Psychiatry 2014; 71: 176-81.
13. Cunningham PJ, May JH. Medicaid patients increasingly concentrated among physicians: Tracking Report no. 16. Washington, DC: Center for Studying Health System Change, August 2006 (https://snellingcenter.org/wp-content/uploads/2014/02/Community-Tracking-Study-16-Medicaid-Patients-Increasingly-Concentrated-Among-Physicians.pdf).
14. Milbank D. The problem with Obamacare's mental-health 'parity' measure. Washington Post. November 27, 2015 (https://www.washingtonpost.com/opinions/the-problem-with-obamacares-mental-health-parity-measure/2015/11/27/f2c5fcfc-952b-11e5- A2d6-f57908580b1f-story.html).
15. A long road ahead: Achieving true parity in mental health and substance use care. Arlington, VA: National Alliance on Mental Illness (NAMI), April 2015 (https://www.nami.org/About-NAMI/Publications-Reports/Public-Policy-Reports/A-Long-Road-Ahead/2015-ALongRoadAhead.pdf).
16. Frank RG, Huskamp HA, Pincus HA. Aligning incentives in the treatment of depression in primary care with evidence-based practice. Psychiatr Serv 2003; 54: 682-7.
17. Edlund MJ, Unützer J, Wells KB. Clinician screening and treatment of alcohol, drug, and mental problems in primary care: Results from Healthcare for Communities. Med Care 2004; 42: 1158-66.
18. McGinty EE, Baller J, Azrin ST, Juliano-Bult D, Daumit GL. Quality of medical care for persons with serious mental illness: A comprehensive review. Schizophr Res 2015; 165: 227-35.
19. Can we live longer? Integrated healthcare's promise. Rockville, MD: Substance Abuse and Mental Health Services Administration (http://www.integration.samhsa.gov/Integration-Infographic-8-5x30-final.pdf).
20. Kilbourne AM, Welsh D, McCarthy JF, Post EP, Blow FC. Quality of care for cardiovascular disease-related conditions in patients with and without mental disorders. J Gen Intern Med 2008; 23: 1628-33.
21. Homelessness programs and resources. Rockville, MD: Substance Abuse and Mental Health Services Administration, July 2011 (http://homeless.samhsa.gov/ResourceFiles/hrc-factsheet.pdf).
22. Steadman HJ, Osher FC, Robbins PC, Case B, Samuels S. Prevalence of serious mental illness among jail inmates. Psychiatr Serv 2009; 60: 761-5.
23. Prins SJ. Prevalence of mental illnesses in US State prisons: A systematic review. Psychiatr Serv 2014; 65: 862-72.
24. Mechanic D, McAlpine DD, Rochefort DA. Mental health and social policy: Beyond managed care. 6th ed. Upper Saddle River, NJ: Pearson Education, 2014.
25. Burns ME. State discretion over Medicaid coverage for mental health and addiction services. Psychiatr Serv 2015; 66: 221-3.
26. Medicaid and Children's health insurance programs; Mental Health Parity and Addiction Equity Act of 2008; the application of Mental Health Parity requirements to coverage offered by Medicaid managed care organizations, the Children's Health Insurance Program (CHIP), and alternative benefit plans: proposed rule. Fed Regist 2015; 80: 19417-52. (https://federalregister.gov/a/2015-08135).
27. Medicaid benefits: physician services. 2012. Washington, DC: Kaiser Family Foundation, 2012 (http://kff.org/medicaid/state-indicator/physician-services/).
28. Consistency of large employer and group health plan benefits with requirements of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008. Washington, DC: Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, November 2013 (https://aspe.hhs.gov/report/consistency-large-employer- And-group-health-plan-benefits-requirements-paul-wellstone- And-pete-domenici-mental-health-parity- And- Addiction-equity- Act-2008).
29. Goldman HH, Frank RG, Burnam MA, et al. Behavioral health insurance parity for federal employees. N Engl J Med 2006; 354: 1378-86.
30. Creedon TB, Cook BL. Access to mental health care increased but not for substance use, while disparities remain. Health Aff (Millwood) 2016; 35: 1017-21.
31. 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. Am J Psychiatry 2015; 172: 182-9.
32. Baird M, Blount A, Brungardt S, et al. The development of joint principles: integrating behavioral health care into the patient- centered medical home. Ann Fam Med 2014; 12: 183.
33. American Medical Association. AMA seeks to increase coverage and access for patients with multiple health care needs. June 2016 (http://www.ama- Assn.org/ama/pub/news/news/2015/2015-06-09-coverage- Access-patients-multiple-health-care-needs.page).
34. Committee on Psychosocial Aspects of Child and Family Health and Task Force on Mental Health. Policy statement - The future of pediatrics: mental health competencies for pediatric primary care. Pediatrics 2009; 124: 410-21.
35. Crowley RA, Kirschner N. The integration of care for mental health, substance abuse, and other behavioral health conditions into primary care: Executive summary of an American College of Physicians position paper. Ann Intern Med 2015; 163: 298-9.
36. Katon W, Von Korff M, Lin E, et al. Collaborative management to achieve treatment guidelines: impact on depression in primary care. JAMA 1995; 273: 1026-31.
37. Gilbody S, Bower P, Fletcher J, Richards D, Sutton AJ. Collaborative care for depression: A cumulative meta- Analysis and review of longer- Term outcomes. Arch Intern Med 2006; 166: 2314-21.
38. Kathol RG, Butler M, McAlpine DD, Kane RL. Barriers to physical and mental condition integrated service delivery. Psychosom Med 2010; 72: 511-8.
39. Alakeson V, Frank RG, Katz RE. Specialty care medical homes for people with severe, persistent mental disorders. Health Aff (Millwood) 2010; 29: 867-73.
40. Stanton E. Integration: A 2016 Beacon Health Options White Paper. Boston: Beacon, 2016 (http://beaconlens.com/wp-content/uploads/2016/02/Beacon-Whitepaper-FINAL.pdf).
41. Druss BG, von Esenwein SA. Improving general medical care for persons with mental and addictive disorders: systematic review. Gen Hosp Psychiatry 2006; 28: 145-53.
42. Scharf DM, Eberhart NK, Hackbarth NS, et al. Evaluation of the SAMHSA Primary and Behavioral Health Care Integration (PBHCI) grant program. Santa Monica, CA:RAND, 2014 (http://www.rand.org/content/dam/rand/pubs/research-reports/RR500/RR546/RAND-RR546.pdf).
43. Barry CL, Stuart EA, Donohue JM, et al. The early impact of the 'Alternative Quality Contract' on mental health service use and spending in Massachusetts. Health Aff (Millwood) 2015; 34: 2077-85.
44. Busch AB, Huskamp HA, McWilliams JM. Early efforts by Medicare accountable care organization have limited effect on mental illness care and management. Health Aff (Millwood) 2016; 35: 1247-56.
45. Statement of Harold Kudler, M.D., Chief consultant for mental health services, Veterans Health Administration. Washington, DC: U.S. Senate Committee on Veterans Affairs, October 28, 2015 (http://www.veterans.senate.gov/imo/media/doc/VA%20Kudler%20Testimony%2010.28.15.pdf).
46. Integration of primary care and behavioral health: Report on a roundtable discussion of strategies for private health insurance. Washington, DC: Bazelon Center for Mental Health Law, February 2005 (http://www.nhchc.org/wp-content/uploads/2011/10/RoundtableReport.pdf).
47. About the Association for Behavioral Health and Wellness. Washington, DC: Association for Behavioral Health and Wellness, 2012 (http://www.abhw.org/about/).
48. Swanson JW, McGinty EE, Fazel S, Mays VM. Mental illness and reduction of gun violence and suicide: Bringing epidemiologic research to policy. Ann Epidemiol 2015; 25: 366-76.
49. Murphy T. Mass shootings and a mental-health disgrace. Wall Street Journal. October 8, 2015 (http://www.wsj.com/articles/mass-shootings- And- A-mental-health-disgrace-1444346679).
50. Huetteman E, Pérez-Peña R. Paul Ryan pushes changes in mental health care after Colorado shooting. New York Times. December 1, 2015 (http://www.nytimes.com/2015/12/02/us/obama-repeats-call-for-stricter-gun-laws- After-colorado-shooting.html?-r=0).
51. Centers for Disease Control and Prevention. Injury prevention and control: opioid overdose: prescription opioid overdose data (http://www.cdc.gov/drugoverdose/data/overdose.html).
52. Centers for Disease Control and Prevention. Injury prevention and control: opioid overdose: heroin overdose data (http://www.cdc.gov/drugoverdose/data/heroin.html).
53. Centers for Disease Control and Prevention. Injury prevention and control: opioid overdose: state successes, 2015 (http://www.cdc.gov/drugoverdose/policy/successes.html).
54. Zezima K. Chris Christie continues to talk about drug addiction on the campaign trail. Washington Post. November 4, 2015 (https://www.washingtonpost.com/news/post-politics/wp/2015/11/04/chris-christie-continues- To- Talk- About-drug- Addiction-on- The-campaign- Trail/).
55. Frank RG, Glied SA. Better but not well: mental health policy in the United States since 1950. Baltimore: Johns Hopkins University Press, 2006.