Access of rural AFDC Medicaid beneficiaries to mental health services.
Date of Pub
Agger, Marc S
This article examines geographic differences in the use of mental health services among Aid to Families with Dependent Children
(AFDC)-eligible Medicaid beneficiaries in Maine. Findings indicate that rural AFDC beneficiaries have significantly lower
utilization of mental health services than urban beneficiaries. Specialty mental health providers account for the majority
of ambulatory visits for both rural and urban beneficiaries. However, rural beneficiaries rely more on primary-care providers
than do urban beneficiaries. Differences in use are largely explained by variations in the supply of specialty mental health
providers. This finding supports the long-held assumption that lower supply is a barrier to access to mental health services
in rural areas.
Aid to Families with Dependent Children/economics/utilization : Geography : Health Services Accessibility/statistics & numerical
data : Human : Maine/epidemiology : Medicaid/economics/utilization : Mental Disorders/epidemiology : Mental Health Services/economics/utilization
: Rural Health Services/economics/utilization : Support, Non-U.S. Gov't : Support, U.S. Gov't, P.H.S. : United States/epidemiology