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- Title
Market Factors Associated with Comprehensive Behavioral Health Crisis Care Availability: A Resource Dependence Theory Study.
- Authors
Burns, Ashlyn; Vest, Joshua R.; Menachemi, Nir; Mazurenko, Olena; Salyers, Michelle P.; Yeager, Valerie A.
- Abstract
Behavioral health crisis care (BHCC) is a care delivery model for individuals experiencing acute distress related to a mental health or substance use disorder. We examined market factors associated with comprehensive BHCC availability using 2022 data on mental health treatment facilities (n = 9385) obtained from the Substance Abuse and Mental Health Services Administration. We aggregated facility-level data by county (n = 3142) and merged with county-level market factors. Logistic regression models were used to examine the adjusted associations between market factors and BHCC availability. We found that 468 (14.9%) counties had at least one mental health treatment facility offering comprehensive BHCC services. Specifically, counties with more mental health providers (Adjusted Odds Ratio = 2.26, Confidence Interval = 1.32-3.86) and metropolitan counties (AOR = 3.26, CI = 1.95-5.43) had higher odds of having a comprehensive BHCC facility. Our findings highlight the importance of developing the mental health workforce to increase BHCC availability and a need to address disparities in rural counties.
- Subjects
UNITED States; SUICIDE prevention; HEALTH services accessibility; SUBSTANCE abuse; CROSS-sectional method; POLICY sciences; STATISTICAL models; MENTAL health; MENTAL health services; PSYCHOLOGICAL distress; RESEARCH funding; LOGISTIC regression analysis; MARKETING; CRISIS intervention (Mental health services); DESCRIPTIVE statistics; CHI-squared test; ODDS ratio; CONCEPTUAL structures; RURAL conditions; METROPOLITAN areas; STATISTICS; CONFIDENCE intervals; HEALTH equity; DATA analysis software; UNITED States. Substance Abuse &; Mental Health Services Administration; LABOR supply
- Publication
Inquiry (00469580), 2024, p1
- ISSN
0046-9580
- Publication type
Article
- DOI
10.1177/00469580241256822