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Published on: September 19, 2019
What are the parent-reported reasons for unmet mental health needs in children?
1School of Social Work, Florida Atlantic University, Boca Raton, FL 33431, USA. lderigne@fau.edu
Insights
Uninsured children are more likely to lack mental health care due to high costs. Public insurance can reduce this financial barrier for children with special health care needs.
Area of Science:
- Pediatric Mental Health
- Health Services Research
- Health Economics
Background:
- Access to mental health services is a significant challenge for children with long-term emotional or behavioral conditions.
- Parental financial constraints and insurance status are critical factors influencing care access.
Purpose of the Study:
- To investigate parent-reported reasons for unmet mental health needs in children.
- To determine the influence of insurance status (insured/uninsured) and type (private/public) on unmet mental health care needs.
Main Methods:
- Analysis of the National Survey of Children with Special Health Care Needs.
- Focus on children with reported needs for mental health care or counseling in the past 12 months.
- Examination of children with long-term emotional/behavioral problems.
Main Results:
- Children who are uninsured are more likely to have unmet mental health needs due to cost.
- Public health insurance is associated with a decreased likelihood of unmet needs attributed to cost.
- Insurance type significantly impacts parental reporting of cost as a barrier.
Conclusions:
- Expanding health insurance coverage for all children is crucial.
- Achieving parity for mental health benefits within private insurance plans is essential.
- Addressing financial barriers is key to improving mental health care access for children.
Abstract:
Parents of children with long-term emotional or behavioral conditions often struggle to access and afford mental health services for their children.This article examines the parent-reported reasons for unmet mental health needs in children using the National Survey of Children with Special Health Care Needs, specifically investigating whether insurance status (insured versus uninsured) and insurance type (private versus public) influences why a child has an unmet mental health need. The sample included children whose parents reported a need for mental health care or counseling in the previous 12 months, focusing on children with long-term emotional/behavioral problems rather than children experiencing episodic events that might only require short-term mental health services. Findings indicate that being uninsured increases the likelihood of parents reporting costs too much as the reason for their child having unmet mental health needs, whereas being insured by public health insurance decreases the likelihood of reporting costs too much as the reason. Policy implications include the need for expansion of health insurance coverage for all children and the need to achieve parity for mental health benefits in private health insurance.
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