Market Factors Associated with Comprehensive Behavioral Health Crisis Care Availability: A Resource Dependence Theory Study

Author:

Burns Ashlyn1ORCID,Vest Joshua R.2,Menachemi Nir1,Mazurenko Olena1,Salyers Michelle P.3,Yeager Valerie A.1

Affiliation:

1. Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA

2. Indiana University Richard M. Fairbanks School of Public Health, Regenstrief Institute Center for Biomedical Informatics, Indianapolis, IN, USA

3. Indiana University School of Science, Indianapolis, IN, USA

Abstract

Behavioral health crisis care (BHCC) is a care delivery model for individuals experiencing acute distress related to a mental health or substance use disorder. We examined market factors associated with comprehensive BHCC availability using 2022 data on mental health treatment facilities (n = 9385) obtained from the Substance Abuse and Mental Health Services Administration. We aggregated facility-level data by county (n = 3142) and merged with county-level market factors. Logistic regression models were used to examine the adjusted associations between market factors and BHCC availability. We found that 468 (14.9%) counties had at least one mental health treatment facility offering comprehensive BHCC services. Specifically, counties with more mental health providers (Adjusted Odds Ratio = 2.26, Confidence Interval = 1.32-3.86) and metropolitan counties (AOR = 3.26, CI = 1.95-5.43) had higher odds of having a comprehensive BHCC facility. Our findings highlight the importance of developing the mental health workforce to increase BHCC availability and a need to address disparities in rural counties.

Publisher

SAGE Publications

Reference43 articles.

1. Pietras S, Wishon A. Crisis Services and the Behavioral Health Issue Brief. Washington, DC, Office of the Assistant for Planning and Evaluation; 2021. Accessed January 19, 2023. https://aspe.hhs.gov/reports/crisis-services-behavioral-health-workforce-issue-brief.

2. Behavioral Health Crisis Stabilization Centers: A New Normal

3. Substance Abuse and Mental Health Services Administration. National Guidelines for Behavioral Health Crisis Care-A Best Practice Toolkit Knowledge Informing Transformation; 2020. Accessed March 30, 2023. https://www.samhsa.gov/sites/default/files/national-guidelines-for-behavioral-health-crisis-care02242020.pdf

4. Improving Psychiatric Access for Students in Crisis: An Alternative to the Emergency Department

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