Inequity in Child Mental Healthcare Use

Nicole Black, David Johnston, Michael Shields and Trong-Anh Trinh ()
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Trong-Anh Trinh: Monash University, Monash Business School, Centre for Health Economics

No 2024-12, Working Papers from Centre for Health Economics, Monash University

Abstract: We study the extent of horizontal inequity in children’s mental healthcare use in Australia, where universal insurance aims to provide equitable access to needed treatment, regardless of ability to pay. We use linked longitudinal survey data and administrative records that measure the need for mental healthcare – via screening questionnaires and general practitioner (GP) diagnosis – and use of mental health professionals and medication. Using between- and within-child approaches, we find that conditional on need, children from lower income families are significantly less likely to receive services from clinical psychologists than children from higher income households. However, we see little evidence of income inequities in receiving mental health services from GPs or general psychologists. We show that differences in out-of-pocket fees are a likely explanation. The findings highlight that specific support to low-income families is needed to reduce inequities in accessing a complete range of mental health services.

Keywords: child mental health; mental health treatment; unmet mental health need; horizontal inequity; income inequity (search for similar items in EconPapers)
JEL-codes: I12 I14 (search for similar items in EconPapers)
Date: 2024-08
New Economics Papers: this item is included in nep-hea
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Working Paper: Inequity in Child Mental Healthcare Use (2024)
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