Mental Health

Access and coverage
  • Mental Health Parity at a Crossroads

    More than 25 years after the first federal mental health parity protections were put in place, adequate coverage for behavioral health care remains elusive. This brief explains the federal behavioral health parity requirements and sets out key policy issues.
  • Section 1115 Waiver Watch: Contingency Management

    Of the 800,000 Medicaid enrollees aged 12 to 64 with a diagnosed stimulant use disorder in 2019, about 20% were in states that now have approved 1115 Medicaid waivers for contingency management services.
  • The Landscape of School-Based Mental Health Services

    In the 2024-2025 school year, 18% of students utilized school-based mental health services. This issue brief explores the landscape of mental health services, including services offered, utilization, barriers, and funding, as well as recent federal actions.
  • 5 Key Facts about Medicaid Coverage for Adults with Mental Illness

    Nationwide, an estimated 52 million nonelderly adults live with mental illness, and Medicaid covers nearly one in three (29%) of them, or about 15 million adults.
  • What Federal Medicaid Cuts Could Mean for the Opioid Epidemic

    Medicaid covers 47% of all nonelderly adults with OUD and is the primary coverage source among those receiving treatment services. This brief offers a look at what federal Medicaid spending cuts could mean for this population.

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  • Medicaid Health Homes: A Profile of Newer Programs

    Issue Brief

    Under the ACA, states have a new Medicaid option to establish "health homes" designed to improve care coordination and integration and reduce costs for beneficiaries with chronic conditions. Thus far, 15 states have implemented health home programs. Following on a 2012 brief profiling Medicaid health home programs in the first six states to adopt the option, this brief describes the health home programs in the nine states that have implemented them since that time, and highlights common themes across them as well as distinctions among them.

  • Integrating Physical and Behavioral Health Care: Promising Medicaid Models

    Issue Brief

    Although many people require treatment for both physical and behavioral health conditions, our physical and behavioral health systems typically operate independently, without coordination. Medicaid has a significant stake in addressing this issue because physical and behavioral health comorbidity rates among beneficiaries are high. This brief examines five promising approaches currently underway in Medicaid to better integrate physical and behavioral health care.

  • Kaiser Health Tracking Poll: February 2013

    Feature

    The February Kaiser Health Tracking Poll focuses on some of the health policy implications of this winter’s national debate over gun violence, gun control and the adequacy of the nation’s response to the needs of those living with serious mental illness. The survey finds that one in five Americans have some connection to a victim of gun violence, a share that doubles to 42 percent among blacks.

  • Behavioral Health: Can Primary Care Help Meet the Growing Need?

    Event Date:
    Event

    The health reform law has specific provisions covering mental health and substance use conditions, as well as general provisions to benefit those in need of behavioral health services. While addressing unmet needs, the reform law provisions raise new challenges.

  • Mental Health Financing in the United States: A Primer

    Report

    This primer provides an overview of behavioral health care, reviews the sources of financing for such care, assesses the interaction between different payers, and highlights recent policy debates in mental health.