@article{ref1,
title="U.S. health care reform and enduring barriers to mental health care among low-income adults with psychological distress",
journal="Psychiatric services",
year="2021",
author="Mojtabai, Ramin",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: The author aimed to assess changes in mental health service use, unmet need for mental health care, and barriers to obtaining care among low-income adults after the implementation of the Affordable Care Act in 2014. <br><br>METHODS: Data on 15,968 adults with psychological distress and family income <100% of the federal poverty level were drawn from the National Survey on Drug Use and Health, 2009-2018. Health insurance coverage, contact with mental health services, unmet need for mental health care, and self-reported barriers to care were compared between 2009-2013 and 2014-2018. <br><br>RESULTS: Health insurance coverage increased between 2009-2013 and 2014-2018. However, mental health service use did not change, and unmet need for care modestly decreased. Financial barriers were common and did not change significantly over time. Attitudinal and structural barriers increased. <br><br>CONCLUSIONS: Further efforts are needed to address the enduring barriers to mental health care among low-income adults.<p /> <p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.202000194",
url="http://dx.doi.org/10.1176/appi.ps.202000194"
}