Equity for All?

García, Richard A.

doi:10.1080/01947641003598328

Cited by 10 publications

(2 citation statements)

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“…Overall, these associations could partly be due to social protection programs in the U.S. such as unemployment compensation, debt relief programs, and social welfare. Moreover, the passage of the Mental Health Parity and Addiction Equity Act of 2008 [ 44 ] may have facilitated access to mental health care in a timely fashion which may have prevented serious mental illnesses. As seen from the stratified analyses by health services use, males and females who were diagnosed with anxiety or depression and did not receive any health services had worse self-reported mental health during and after the recession compared to pre-recession.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in Mental Health Outcomes before, during, and after the Great Recession

2015

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We examined gender differences in mental health outcomes during and post-recession versus pre-recession. We utilized 2005-2006, 2008-2009, and 2010-2011 data from the Medical Expenditure Panel Survey. Females had lower odds of depression diagnoses during and post-recession and better mental health during the recession, but higher odds of anxiety diagnoses post-recession. Males had lower odds of depression diagnoses and better mental health during and post-recession and lower Kessler 6 scores post-recession. We conducted stratified analyses, which confirmed that the aforementioned findings were consistent across the four different regions of the U.S., by employment status, income and health care utilization. Importantly, we found that the higher odds of anxiety diagnoses among females after the recession were mainly prominent among specific subgroups of females: those who lived in the Northeast or the Midwest, the unemployed, and those with low household income. Gender differences in mental health in association with the economic recession highlight the importance of policymakers taking these differences into consideration when designing economic and social policies to address economic downturns. Future research should examine the reasons behind the decreased depression diagnoses among both genders, and whether they signify decreased mental healthcare utilization or increased social support and more time for exercise and leisure activities.

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Section: Discussionmentioning

confidence: 99%

Gender Differences in Mental Health Outcomes before, during, and after the Great Recession

2015

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“…First is the continuing decline in population smoking prevalence (Jamal et al, 2016). Second, access to tobacco cessation services should be expanding, based on U.S. mental health parity legislation (Garcia, 2010), because the 2010 Affordable Care Act (ACA) was expected to in increase the numbers of persons who receive addiction treatment (Buck, 2011), and because the ACA required coverage of smoking cessation intervention. Third, the 2009 Family Smoking Prevention and Tobacco Control Act placed regulatory authority over tobacco products into the hands of the Food and Drug Administration (FDA), with the mandate to protect public health (National Institutes of Health, 2012).…”

Section: Introductionmentioning

confidence: 99%

Smoking-related outcomes and associations with tobacco-free policy in addiction treatment, 2015–2016

Guydish

Yip

et al. 2017

Drug and Alcohol Dependence

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Objective This study assessed changes in smoking-related outcomes in two cross-sectional samples of clients enrolled in addiction treatment and whether tobacco-free grounds policies were associated with smoking-related outcomes. Method Clients in 25 programs were surveyed in 2015 (N = 1,176) and 2016 (N = 1,055). The samples were compared on smoking prevalence, cigarettes per day (CPD), thinking of quitting, past year quit attempts, staff and clients smoking together, attitudes towards quitting, and tobacco-related services. Second, programs with (n = 6) and without (n = 17) tobacco-free grounds at both time points were compared on smoking-related outcomes. Last, we examined changes in these measures for two programs that adopted tobacco-free grounds between 2015 and 2016. Results There was one difference across years, such that the mean score for the tobacco Program Service scale increased from 2.37 to 2.48 (p = 0.043, effect size = 0.02). In programs with tobacco-free grounds policies, compared to those without, both CPD and the rate of staff and clients smoking together were significantly lower. In the two programs where tobacco-free grounds were implemented during study years, client smoking prevalence decreased (92.5% v. 67.6%, p = .005), the rate of staff and clients smoking together decreased (35.6% v. 4.2%, p = .031), mean CPD decreased (10.62 v. 8.24, p < .001) and mean tobacco services received by clients increased (2.08 v. 3.05, p < .001). Conclusion Addiction treatment programs, and agencies responsible for licensing, regulating and funding these programs, should implement tobacco-free grounds policies.

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The Individual Mandate, Mental Health Parity, and the Obama Health Plan

Aggarwal

Rowe

2011

Adm Policy Ment Health

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Equity for All?

Cited by 10 publications

References 0 publications

Gender Differences in Mental Health Outcomes before, during, and after the Great Recession

Gender Differences in Mental Health Outcomes before, during, and after the Great Recession

Smoking-related outcomes and associations with tobacco-free policy in addiction treatment, 2015–2016

The Individual Mandate, Mental Health Parity, and the Obama Health Plan

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