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U.S. mental health system needs broad changes to improve access and quality


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Conditions are ripe for transforming the U.S. mental health care system, with scientific advances, the growth of Medicaid and political consensus on the importance of improving mental health creating the possibility that goals once thought out of reach may be possible, according to a new RAND Corporation study.
Broad changes will be needed to improve how Americans receive mental health care, such as integrating behavioral health care into general health care settings, providing supportive housing to the homeless and promoting comprehensive mental health education.
Federal mental health parity legislation is one recent promising development that aims to put coverage for mental health treatment and general health care on equal footing, but researchers say that more effort is needed to enforce the law. ....

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Use of telehealth jumped as pandemic shutdown began


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Use of telehealth jumped sharply during the first months of the coronavirus pandemic shutdown, with the approach being used more often for behavioral health services than for medical care, according to a new RAND Corporation study.
Between mid-March and early May 2020, telehealth was used by more than 40% of patients with a chronic physical health condition and by more than 50% of those with a behavioral health condition, according to findings published in the
Journal of General Internal Medicine.
Overall, almost half of the people who were undergoing treatment when the pandemic shutdown began reported using some form of telemedicine.
Researchers found that the use of telehealth for behavioral health conditions was lower among women and among people over the age of 60. Use of telehealth also was lower among Non-Hispanic Whites relative to Non-Hispanic Blacks, and was lower among those with less than a high school education relative to those with a co ....

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What Can be Learned from Differing Rates of Suicide Among Groups? | Blog Posts


By Austin Frakt
Austin Frakt is director of the Partnered Evidence-Based Policy Resource Center at the V.A. Boston Healthcare System; associate professor with Boston University’s School of Public Health; and a senior research scientist with the Harvard T.H. Chan School of Public Health. He blogs at The Incidental Economist, and you can follow him on Twitter at @afrakt
Dec. 30, 2020
U.S. suicide rates vary widely across racial and ethnic groups in ways that can upend expectations. The explanations may suggest avenues for prevention.
Suicide in America has been rising for two decades, with rates for white Americans consistently well above those for Asian-Americans, Black Americans and Hispanics. ....

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