25 Pages Posted: 23 Jan 2012
Date Written: January 20, 2012
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.
Suggested Citation: 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: https://ssrn.com/abstract=1989038 or http://dx.doi.org/10.2139/ssrn.1989038