Does private insurance adequately protect families of children with mental health disorders?

Pediatrics
Susan H Busch, Colleen L Barry

Abstract

Although private insurance typically covers many health care costs, the challenges faced by families who care for a sick child are substantial. These challenges may be more severe for children with special health care needs (CSHCN) with mental illnesses than for other CSHCN. Our objective was to determine if families of privately insured children who need mental health care face different burdens than other families in caring for their children. We used the 2005-2006 National Survey of Children With Special Health Care Needs (NS-CSHCN) to study privately insured children aged 6 to 17 years. We compared CSHCN with mental health care needs (N = 4918) to 3 groups: children with no special health care needs (n = 2346); CSHCN with no mental health care needs (n = 16250); and CSHCN with no mental health care need but a need for other specialty services (n = 7902). The latter group was a subset of CSHCN with no mental health care need. We used weighted logistic regression and study outcomes across 4 domains: financial burden; health plan experiences; labor-market and time effects; and parent experience with services. We found that families of children with mental health care needs face significantly greater financial barriers, have mo...Continue Reading

References

Feb 24, 2001·Journal of Health Economics·R G FrankT G McGuire
Jan 5, 2005·Archives of Pediatrics & Adolescent Medicine·Paul W Newacheck, Sue E Kim
Jun 21, 2005·Maternal and Child Health Journal·Karen KuhlthauJames M Perrin
Sep 10, 2005·International Journal of Law and Psychiatry·Haiden A Huskamp
Jul 15, 2006·Journal of the American Academy of Child and Adolescent Psychiatry·Christopher R Thomas, Charles E Holzer
May 11, 2007·Health Services Research·Colleen L Barry, Susan H Busch
Jun 9, 2007·Health Affairs·Thomas C BuchmuellerSamuel H Zuvekas
Jul 17, 2007·Health Affairs·Susan H Busch, Colleen L Barry
Oct 9, 2008·Health Affairs·Katharine R LevitRita Vandivort-Warren

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Citations

Apr 5, 2011·Administration and Policy in Mental Health·Rachel L GarfieldEllen Meara
Jun 26, 2012·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·LeaAnne DeRigne
Feb 26, 2015·American Journal on Intellectual and Developmental Disabilities·Susan L ParishMorgan K Crossman
Nov 16, 2019·Administration and Policy in Mental Health·Genevieve Graaf, Lonnie Snowden
Jun 20, 2020·Developmental Medicine and Child Neurology·Marie-Josephe Saurel-CubizollesPierre-Yves Ancel
Jul 18, 2016·Maternal and Child Health Journal·Nancy C Cheak-Zamora, Matthew Thullen
Feb 26, 2016·Pediatrics·Sarabeth Broder-FingertKaren Kuhlthau
Jul 25, 2018·Pediatrics·Alene Kennedy-HendricksColleen L Barry

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