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When Systems Churn: Policy Instability as a Structural Determinant of Youth Mental Health
Apurva Parikh1, Alina Denham2, Cathryn A Galanter1
1Renaissance School of Medicine at Stony Brook University, Stony Brook, New York.
Abstract:
Across the United States, shifts in political priorities increasingly disrupt mental health care for children and adolescents. Political conditions shape access, continuity, and equity in youth mental health care.1-3 These conditions, including changes in governance, legislation, regulatory enforcement, and funding, affect insurance stability, school and community resources, housing and economic security, and nondiscrimination protections.2 Sweeping changes in political priorities may cause abrupt shifts in public policies, destabilizing the systems that support youth mental health.4,5 In this way, policy instability functions as a structural determinant of youth mental health with direct implications for continuity of care.
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