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How Long Do Adolescents Wait for Psychiatry Appointments?
Kenneth J Steinman1, Abigail B Shoben2, Allard E Dembe3
1Division of Health Behavior and Health Promotion, The Ohio State University College of Public Health, 359-A Cunz Hall, 1841 Neil Avenue, Columbus, OH, 43210, USA. kjsteinman@gmail.com.
Community Mental Health Journal
|June 26, 2015
Summary
Children
Area of Science:
- Child and Adolescent Psychiatry
- Healthcare Access
- Mental Health Services Research
Background:
- Appointment wait times are a critical but understudied aspect of pediatric mental healthcare access.
- Lengthy delays in psychiatric care can negatively impact treatment outcomes for adolescents.
Purpose of the Study:
- To systematically examine wait times for new patient appointments for adolescent psychiatric medication management.
- To identify factors influencing these wait times, including insurance type and geographic region.
Main Methods:
- A "secret shopper" methodology was employed, with researchers posing as parents to inquire about appointment availability.
- Wait times were recorded for 498 new patient appointments across 140 unique adolescent psychiatric offices in Ohio.
Main Results:
- The median wait time for an adolescent psychiatric appointment was 50 days.
- Adolescents with Medicaid experienced longer wait times compared to those with private insurance, particularly in the spring.
- Significant regional variations in wait times were observed across Ohio.
Conclusions:
- Adolescents frequently encounter substantial delays when seeking routine psychiatric care.
- The study highlights the need for improved monitoring of mental health service delivery and accessibility for youth.
- The employed methodology offers a viable approach for real-time assessment of psychiatric service availability.
Keywords:
AdolescentAppointments and schedulesHealth insuranceMedicaidMental health servicesPatient simulationMore Related Videos
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