Abstract

http://ssrn.com/abstract=1989038
 


 



Mental Health Care Consumption and Outcomes: Considering Preventative Strategies Across Race and Class


Barak D. Richman


Duke University - School of Law

Dan Grossman


Duke University Medical Center

Frank A. Sloan


Duke University - Center for Health Policy, Law and Management; Duke University, Fuqua School of Business-Economics Group; Duke University - Department of Economics; National Bureau of Economic Research (NBER)

Craig Chepke


affiliation not provided to SSRN

January 20, 2012


Abstract:     
In previous work (Richman 2007), we found that even under conditions of equal insurance coverage and access to mental healthcare providers, whites and high-income individuals consume more outpatient mental health services than nonwhites and low-income individuals. We follow-up that study to determine (1) whether nonwhite and low-income individuals obtain medical substitutes to mental healthcare, and (2) whether disparate consumption leads to disparate health outcomes. We find that nonwhites and low-income individuals are more likely than their white and high-income counterparts to obtain mental health care from general practitioners over mental healthcare providers, and nearly twice as likely not to follow up with a mental health provider after hospitalization with a mental health diagnosis. We further are unable to find any evidence that this leads to adverse health outcomes. These findings echo concern expressed in Richman (2007) that low-income and nonwhite individuals might be paying for health services that primarily benefit their white and more affluent coworkers.

Number of Pages in PDF File: 25

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Date posted: January 23, 2012  

Suggested Citation

Richman, Barak D. and Grossman, Dan and Sloan, Frank A. and Chepke, Craig, Mental Health Care Consumption and Outcomes: Considering Preventative Strategies Across Race and Class (January 20, 2012). Available at SSRN: http://ssrn.com/abstract=1989038 or http://dx.doi.org/10.2139/ssrn.1989038

Contact Information

Barak D. Richman (Contact Author)
Duke University - School of Law ( email )
Box 90360
Duke School of Law
Durham, NC 27708
United States
919-613-7244 (Phone)
919-613-7231 (Fax)
Dan Grossman
Duke University Medical Center ( email )
Durham, NC 27715
United States
Frank A. Sloan
Duke University - Center for Health Policy, Law and Management ( email )
Box 90253
Durham, NC 27708
United States
919-684-8047 (Phone)
919-684-6246 (Fax)
Duke University, Fuqua School of Business-Economics Group ( email )
Box 90097
Durham, NC 27708-0097
United States
Duke University - Department of Economics ( email )
Durham, NC 27708-0204
United States
National Bureau of Economic Research (NBER)
1050 Massachusetts Avenue
Cambridge, MA 02138
United States
Craig Chepke
affiliation not provided to SSRN
Feedback to SSRN


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