New Managed Care Findings from Emory University Discussed (Association Between In-home Treatment and Engagement In Psychosocial Services Among Medicaid-enrolled Youth): Managed Care

2022 DEC 16 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Fresh data on Managed Care are presented in a new report. According to news reporting from Atlanta, Georgia, by NewsRx journalists, research stated, “Prior studies have identified low rates of engagement in mental health (MH) services in clinic settings among children enrolled in Medicaid. Yet, little is known about whether the delivery of in-home MH treatment (in which the clinician travels to the child’s home) improves engagement for this population.”

Funders for this research include Robert Wood Johnson Foundation (RWJF), Virginia C. and Joseph C. Mello Professorship funds.

The news correspondents obtained a quote from the research from Emory University, “This study examines the association between the delivery of in-home psychosocial treatment and engagement in services among Medicaid-enrolled youth. We used 2010 to 2014 Georgia Medicaid claims data to identify 53,508 children and adolescents (aged 5-17 years) with a MH diagnosis that initiated new psychosocial treatment. We estimated regression models controlling for covariates to examine the relationship of the receipt of any in -home psychosocial treatment in the home setting with 3 outcome measures of engagement: receipt of at least 4 psychosocial visits during the first 12 weeks; total number of psychosocial visits during the first 12 weeks; and total duration of service use. Those who received any in-home psychosocial treatment (compared to those who did not) had 4.3 times the odds (odds ratio = 4.3, 95% CI = 4.0, 4.7) of receiving at least 4 visits during the first 12 weeks, had 4.5 (95% CI = 4.3, 4.7) more predicted visits during the first 12 weeks, and had a longer treatment episode duration (mean rate ratio = 1.54, 95% CI = 1.48,1.59).”

According to the news reporters, the research concluded: “Although many Medicaid-enrolled youth do not receive a sufficient number of MH services to achieve positive outcomes, our findings suggest that providing in-home psychosocial treatment can improve service engagement and potentially help address this challenge.”

This research has been peer-reviewed.

For more information on this research see: Association Between In-home Treatment and Engagement In Psychosocial Services Among Medicaid-enrolled Youth. Journal of the American Academy of Child & Adolescent Psychiatry, 2022;61(11):1351-1361. Journal of the American Academy of Child & Adolescent Psychiatry can be contacted at: Elsevier Science Inc, Ste 800, 230 Park Ave, New York, NY 10169, USA. (Elsevier - www.elsevier.com; Journal of the American Academy of Child & Adolescent Psychiatry - http://www.journals.elsevier.com/journal-of-the-american-academy-of-child-and-adolescent-psychiatry/)

Our news journalists report that additional information may be obtained by contacting Janet R. Cummings, Emory University, Rollins School of Public Health, Atlanta, GA, United States. Additional authors for this research include Melody H. Shellman, John Asplund, Hannah Lin, Nicoleta Serban and Bradley D. Stein.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.jaac.2022.03.028. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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