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Related Experiment Video

Updated: Jun 17, 2025

Measurement of Fronto-limbic Activity Using an Emotional Oddball Task in Children with Familial High Risk for Schizophrenia
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Identifying Under- And Overutilization Patterns For Idaho Youth With Serious Emotional Disturbance.

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This summary is machine-generated.

Many youth with serious emotional disturbance underuse Medicaid behavioral health services. This study examined service use and needs in Idaho

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Area of Science:

  • Child and Adolescent Psychiatry
  • Health Services Research
  • Public Health

Background:

  • Serious emotional disturbance affects 7-12% of US youth.
  • Idaho's Youth Empowerment Service (YES) program provides Medicaid-funded community-based treatment for eligible youth.
  • The program targets youth under 18 with serious emotional disturbance and household incomes up to 300% of the federal poverty level.

Purpose of the Study:

  • To assess the association between clinical needs complexity and Medicaid behavioral and mental health service utilization among youth in Idaho.
  • To identify potential underuse or overuse of services within the YES program.

Main Methods:

  • Utilized the Child and Adolescent Needs and Strengths (CANS) tool, a 97-indicator assessment, to measure clinical needs complexity.
  • Analyzed administrative Medicaid claims data from Idaho for the years 2018-2022.
  • Examined the relationship between CANS indicators and actual service use.

Main Results:

  • A significant proportion of youth with serious emotional disturbance were found to be underusing Medicaid behavioral and mental health services.
  • Instances of service overuse were minimal.
  • The findings highlight a gap between assessed needs and service utilization.

Conclusions:

  • There is substantial underutilization of Medicaid behavioral and mental health care among youth with serious emotional disturbance in Idaho.
  • Results suggest a need to review utilization management practices in Medicaid behavioral health.
  • Programmatic efforts are crucial to ensure families with youth experiencing serious emotional disturbance remain engaged with the YES program.