This article describes factors that will shape future demand for doctoral-trained health services researchers. Despite rapid growth in the overall health care sector and in funding for clinical research, inflation-adjusted funding for health services research has declined, implying little or no...

Primary care providers often miss opportunities to address child mental health problems but research has not clarified specific mechanisms for intervention. This article, based on 800 primary care visits to 54 providers in 13 diverse health clinics, examines factors associated with the...

Significant Latino-white disparities in youth mental health care access and quality exist yet little is known about Latino parents’ communication with providers about youth mental health and the role of acculturation in influencing this communication. We estimated regression models to...

This article found it is possible to use a variation of the Vanderbilt Therapeutic Alliance Scale (VTAS) to rate parent-provider interactions in pediatric primary care. Measuring therapeutic alliance may be a useful tool in evaluating interventions to improve the delivery of mental health...

This qualitative study examined the implementation of a reverse colocation pilot program that sought to integrate medical care in two community behavioral health agencies.

As part of a project for the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging, and Long-Term Care Policy, Mathematica produced report examining the use of evidence-based medications, psychosocial services,...

This article provides findings from a training pilot to enhance the ability of medical assistants (MAs) to have therapeutic encounters with Latino families who have mental health concerns in pediatric primary care. The study found that MAs were able to master most of the skills taught during the...

Systems of care for children and youth with serious emotional disturbances have historically not included linkages with primary care. As part of a special issue of Evaluation and Program Planning focused on redefining systems of care, this article proposes that the inclusion of primary care as...

The Medicaid Buy-In program, a state Medicaid option since the late 1990s, is designed to encourage adults with disabilities to work by allowing them to buy into Medicaid when their earnings exceed standard Medicaid eligibility limits. This article describes enrollment, expenditures, and...

Promoting employment for people with disabilities is an important policy objective for the nation. The first brief in a new series on the Medicaid Buy-In program, which extends Medicaid coverage to people with disabilities who go to work so they do not lose health care, examines participant...