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Comparing Strategies for Providing Child and Youth Mental Health Care Services in Canada, the United States, and The Netherlands

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Abstract

This paper reviews how child and youth mental health care services in Canada, the United States, and the Netherlands are organized and financed in order to identify systems and individual-level factors that may inhibit or discourage access to treatment for youth with mental health problems, such as public or private health insurance coverage, out-of-pocket expenses, and referral requirements for specialized mental health care services. Pathways to care for treatment of mental health problems among children and youth are conceptualized and discussed in reference to health insurance coverage and access to specialty services. We outline reforms to the organization of health care that have been introduced in recent years, and the basket of services covered by public and private insurance schemes. We conclude with a discussion of country-level opportunities to enhance access to child and youth mental health services using existing health policy levers in Canada, the United States and the Netherlands.

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Acknowledgements

This research was supported by grants from the Canadian Institutes of Health Research and from the Social Sciences and Humanities Research Council.

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Correspondence to Scott T. Ronis.

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The authors have no conflict of interest to declare.

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This article does not contain any studies with human participants performed by any of the authors.

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Ronis, S.T., Slaunwhite, A.K. & Malcom, K.E. Comparing Strategies for Providing Child and Youth Mental Health Care Services in Canada, the United States, and The Netherlands. Adm Policy Ment Health 44, 955–966 (2017). https://doi.org/10.1007/s10488-017-0808-z

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  • DOI: https://doi.org/10.1007/s10488-017-0808-z

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