Department of Health Policy & Management, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA, 30322, USA.
Department of Behavioral Health Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, USA.
Adm Policy Ment Health. 2019 Sep;46(5):580-595. doi: 10.1007/s10488-019-00937-y.
This qualitative study describes how Medicaid policies create challenges for the delivery and receipt of mental health treatment for low-income youth in Georgia. We conducted focus groups with caregivers of Medicaid-enrolled children with ADHD and semi-structured interviews with providers and administrators at four safety net clinics that provided mental health care to these youth. Stakeholders reported that prior authorization policies for psychosocial services, restrictiveness of preferred drug lists, and changes in preferred drug lists in Medicaid plans created barriers to treatment continuity and quality for youth with ADHD and led to more administrative burden for safety-net clinics serving these youth.
本定性研究描述了佐治亚州的医疗补助政策如何给低收入青少年获得心理健康治疗带来挑战。我们对有注意力缺陷多动障碍的医疗补助受保儿童的照顾者进行了焦点小组讨论，并对为这些青少年提供精神保健的四家社区卫生服务中心的提供者和管理人员进行了半结构化访谈。利益攸关方报告说，精神社会服务的预先授权政策、首选药物清单的限制以及医疗补助计划中首选药物清单的变化，给患有注意力缺陷多动障碍的青少年的治疗连续性和质量带来了障碍，并给为这些青少年服务的社区卫生服务中心带来了更多的行政负担。
