州的慷慨医疗补助家庭和社区为青年提供复杂的心理健康需求的计划
Genevieve Graaf1, Monica Cañizares1, Douglas Leslie2
1School of Social Work, University of Texas at Arlington, Arlington.
Psychiatric services (Washington, D.C.)
|July 30, 2025
概括
青少年行为健康需求的医疗补助家庭和社区服务 (HCBS) 豁免计划因州而异. 威斯康星州提供了最慷慨的福利,而怀俄明州和堪萨斯州的覆盖率随着时间的推移而下降.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 儿童和青少年精神病学 儿童和青少年精神病学
背景情况:
- 根据"社会保障法"第1915条 (c) 款的医疗补助家庭和社区服务 (HCBS) 豁免计划,对于为有复杂健康需求的个人提供医疗资金至关重要.
- 现有的HCBS豁免计划针对复杂的行为健康需求的年轻人,与其他人口相比,它们的普及程度和全面性较低.
- 对于这些州特定计划提供的覆盖范围和福利的差异的了解有限.
研究的目的:
- 量化和比较国家管理的HCBS豁免计划的好处和覆盖范围,专门为经历行为健康需求的年轻人设计.
- 分析这些程序在不同状态的演变和异质性随时间的推移.
主要方法:
- 对国家申请 (2006-2022) 进行了全面的分析,对1515条进行了全面的分析,对有行为健康需求的青年进行了HCBS豁免计划.
- 收集了有关计划特征的数据,包括成本,参与者限制,服务覆盖范围和参与者导向的护理.
- 开发了一个慷慨指数,以量化衡量和每月比较各州的节目慷慨.
主要成果:
- 在各州观察到计划特征和慷慨的显著差异,反映了其他复杂健康需求计划的趋势.
- 威斯康星州始终表现出最慷慨的福利和覆盖,在2022年实现1.64的慷慨指数得分.
- 怀俄明州和堪萨斯州在研究期间的特定时期,项目慷慨显著下降.
结论:
- 对于青少年的州级精神健康豁免计划的实质性异质性,在评估豁免政策的影响时需要仔细考虑.
- 了解这些国家特定的变化对于政策制定和确保所有有行为健康需求的年轻人平等获得护理至关重要.
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