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Identifying Associations of Workforce Shortages in Mental Health with Access to Care for Medicaid Enrollees with Depression: a literature review

Lee, Hansol (2023) Identifying Associations of Workforce Shortages in Mental Health with Access to Care for Medicaid Enrollees with Depression: a literature review. Master Essay, University of Pittsburgh.

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Background: Approximately twenty percent of Medicaid enrollees experience depressive disorder including major depressive disorder (MDD). Even though there are many concerns about the negative effect of workforce shortages in mental health fields in federal and legislative levels, evidence-based information to identify the relationships between mental health provider workforce shortages and access to care for Medicaid beneficiaries with depressive disorder is scarce.
Objective: To identify and review literature that explored the associations of mental health provider workforce shortages with access to care for Medicaid patients with depressive disorder and to summarize the impacts of insufficient supply of mental health providers on accessibility of depressive disorder patients with Medicaid insurance.
Data Sources: The author searched PubMed. Search terms included Medicaid, depression, access, workforce, and shortages. Studies published from 2013 to 2023 were identified.
Results: A total of 685 articles were identified for screening. After screening duplicated studies and unrelated articles, 623 articles were excluded by titles, then 49 studies were screened by abstracts, and 9 studies were excluded after screening by full-text. 4 studies were included to review the relationships between the two variables of interest. Two included studies suggested that the lack of supply in the mental health workforce negatively affects access to care for Medicaid patients with depression. Another study determined that access to care for patients with depression is not impacted by the shortages of mental health workforce. The last study showed that the number of mental health facilities that take Medicaid payment has increased significantly. Literature published between 2013 and 2023 was screened.
Conclusion: To support the effective improvement of Medicaid policies, studies addressing the associations of workforce shortages with access to care for individuals with depression with enrolled in Medicaid should be conducted. In addition, as this review found an insufficient number of studies that investigated access to care for depressed Medicaid enrollees related to the mental health workforce, these results indicate that further studies are required.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Lee, Hansolhal176@pitt.eduHAL176
ContributionContributors NameEmailPitt UsernameORCID
Thesis advisorCole, Evanevancole@pitt.eduevancoleUNSPECIFIED
Committee MemberGoldstein, Tina Rtrg2@pitt.edutrg2UNSPECIFIED
Date: 17 May 2023
Date Type: Completion
Submission Date: 28 April 2023
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 50
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: Key words: Medicaid, depression, access to care, workforce shortages
Date Deposited: 17 May 2023 19:10
Last Modified: 17 May 2023 19:10


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