African American/white disparities in psychiatric emergencies among youth following rapid expansion of Federally Qualified Health Centers.

ABSTRACT:

Objective

To test whether rapid expansion of mental health services in Federally Qualified Health Centers (FQHCs) reduces African American/white disparities in youth psychiatric emergency department (ED) visits.

Data sources

Secondary ED data for psychiatric care for 3.3 million African American and white youth in nine states, 2006-2011. We used the HCUP SEDD and SID. We obtained FQHC service data from the Uniform Data System.

Study design

The psychiatric ED visit is the dependent variable. Logistic regression methods control for individual risk factors for ED use, as well as county-level health system factors and county and year fixed effects. Key independent variables include indicators of mental health service capacity in FQHCs in a county-year.

Data extraction

SUBMITTER: Bruckner TA 

PROVIDER: S-EPMC6980961 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature