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Effects of mental health benefits legislation: a community guide systematic review.
Sipe, Theresa Ann; Finnie, Ramona K C; Knopf, John A; Qu, Shuli; Reynolds, Jeffrey A; Thota, Anilkrishna B; Hahn, Robert A; Goetzel, Ron Z; Hennessy, Kevin D; McKnight-Eily, Lela R; Chapman, Daniel P; Anderson, Clinton W; Azrin, Susan; Abraido-Lanza, Ana F; Gelenberg, Alan J; Vernon-Smiley, Mary E; Nease, Donald E.
Afiliação
  • Sipe TA; Community Guide Branch, Division of Epidemiology, Analysis, and Library Services, Center for Surveillance, Epidemiology, and Laboratory Services, CDC. Electronic address: tsipe@cdc.gov.
  • Finnie RK; Community Guide Branch, Division of Epidemiology, Analysis, and Library Services, Center for Surveillance, Epidemiology, and Laboratory Services, CDC.
  • Knopf JA; Community Guide Branch, Division of Epidemiology, Analysis, and Library Services, Center for Surveillance, Epidemiology, and Laboratory Services, CDC.
  • Qu S; Community Guide Branch, Division of Epidemiology, Analysis, and Library Services, Center for Surveillance, Epidemiology, and Laboratory Services, CDC.
  • Reynolds JA; Community Guide Branch, Division of Epidemiology, Analysis, and Library Services, Center for Surveillance, Epidemiology, and Laboratory Services, CDC.
  • Thota AB; Community Guide Branch, Division of Epidemiology, Analysis, and Library Services, Center for Surveillance, Epidemiology, and Laboratory Services, CDC.
  • Hahn RA; Community Guide Branch, Division of Epidemiology, Analysis, and Library Services, Center for Surveillance, Epidemiology, and Laboratory Services, CDC.
  • Goetzel RZ; Emory University, Truven Health Analytics, and Thomson Reuters, Atlanta, Georgia.
  • Hennessy KD; Substance Abuse and Mental Health Services Administration, Rockville.
  • McKnight-Eily LR; Division of Population Health, CDC.
  • Chapman DP; Division of Population Health, CDC.
  • Anderson CW; American Psychological Association, Washington, District of Columbia.
  • Azrin S; National Institute of Mental Health, Bethesda, Maryland.
  • Abraido-Lanza AF; Mailman School of Public Health, Columbia University, New York, New York.
  • Gelenberg AJ; Department of Psychiatry, Penn State Hershey Medical Center, Hershey, Pennsylvania.
  • Vernon-Smiley ME; Division of Adolescent and School Health, CDC.
  • Nease DE; American Academy of Family Physicians, Denver, Colorado.
Am J Prev Med ; 48(6): 755-66, 2015 Jun.
Article em En | MEDLINE | ID: mdl-25998926
ABSTRACT
CONTEXT Health insurance benefits for mental health services typically have paid less than benefits for physical health services, resulting in potential underutilization or financial burden for people with mental health conditions. Mental health benefits legislation was introduced to improve financial protection (i.e., decrease financial burden) and to increase access to, and use of, mental health services. This systematic review was conducted to determine the effectiveness of mental health benefits legislation, including executive orders, in improving mental health. EVIDENCE ACQUISITION Methods developed for the Guide to Community Preventive Services were used to identify, evaluate, and analyze available evidence. The evidence included studies published or reported from 1965 to March 2011 with at least one of the following

outcomes:

access to care, financial protection, appropriate utilization, quality of care, diagnosis of mental illness, morbidity and mortality, and quality of life. Analyses were conducted in 2012. EVIDENCE

SYNTHESIS:

Thirty eligible studies were identified in 37 papers. Implementation of mental health benefits legislation was associated with financial protection (decreased out-of-pocket costs) and appropriate utilization of services. Among studies examining the impact of legislation strength, most found larger positive effects for comprehensive parity legislation or policies than for less-comprehensive ones. Few studies assessed other mental health outcomes.

CONCLUSIONS:

Evidence indicates that mental health benefits legislation, particularly comprehensive parity legislation, is effective in improving financial protection and increasing appropriate utilization of mental health services for people with mental health conditions. Evidence was limited for other mental health outcomes.
Assuntos

Texto completo: 1 Temas: ECOS / Aspectos_gerais / Estado_mercado_regulacao / Financiamentos_gastos Bases de dados: MEDLINE Assunto principal: Gastos em Saúde / Acessibilidade aos Serviços de Saúde / Transtornos Mentais / Serviços de Saúde Mental Tipo de estudo: Diagnostic_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude / Patient_preference Limite: Female / Humans / Pregnancy Idioma: En Revista: Am J Prev Med Assunto da revista: SAUDE PUBLICA Ano de publicação: 2015 Tipo de documento: Article

Texto completo: 1 Temas: ECOS / Aspectos_gerais / Estado_mercado_regulacao / Financiamentos_gastos Bases de dados: MEDLINE Assunto principal: Gastos em Saúde / Acessibilidade aos Serviços de Saúde / Transtornos Mentais / Serviços de Saúde Mental Tipo de estudo: Diagnostic_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude / Patient_preference Limite: Female / Humans / Pregnancy Idioma: En Revista: Am J Prev Med Assunto da revista: SAUDE PUBLICA Ano de publicação: 2015 Tipo de documento: Article