Linked Child Welfare and Medicaid Data in Kentucky and Florida Highlights Racial Disparities in Access to Care.
Tami L MarkMelissa DolanBenjamin AllaireWilliam ParishDiana PoehlerClaire StrackEmily MaddenValeria ButlerPublished in: Child maltreatment (2024)
Parents with serious mental health (MH) and substance use disorders (SUD) can face profound challenges caring for their children. MH/SUD treatment can improve outcomes for both parents and their children. This study evaluated whether parents with Medicaid with MH/SUD conditions whose children had child protective services (CPS) involvement were receiving MH/SUD treatment and whether receipt differed by race. We analyzed the 2020 Child and Caregiver Outcomes Using Linked Data (CCOULD) which contains Medicaid and child welfare records from Kentucky and Florida on 58,551 CPS-involved caregivers. Among caregivers with an MH diagnosis, White individuals were more likely than Black individuals to have received counseling (44% vs. 24%) or an MH medication (69% vs. 52%). Among caregivers with an SUD, White individuals were more likely than Black individuals to have received counseling (45% vs. 23%) or an SUD medication (43% vs. 11%). More effort is needed to connect parents with CPS involvement to MH/SUD treatment, particularly Black parents.
Keyphrases
- mental health
- healthcare
- palliative care
- affordable care act
- young adults
- primary care
- health insurance
- type diabetes
- big data
- machine learning
- adverse drug
- insulin resistance
- adipose tissue
- human immunodeficiency virus
- mental illness
- chronic pain
- combination therapy
- autism spectrum disorder
- weight loss
- african american
- hiv infected
- data analysis
- quality improvement
- hiv testing