{"id":"https://openalex.org/W1865193644","doi":"https://doi.org/10.1146/annurev-clinpsy-021815-092936","title":"The Relevance of the Affordable Care Act for Improving Mental Health Care","display_name":"The Relevance of the Affordable Care Act for Improving Mental Health Care","publication_year":2015,"publication_date":"2015-12-09","ids":{"openalex":"https://openalex.org/W1865193644","doi":"https://doi.org/10.1146/annurev-clinpsy-021815-092936","mag":"1865193644","pmid":"https://pubmed.ncbi.nlm.nih.gov/26666969"},"language":"en","primary_location":{"id":"doi:10.1146/annurev-clinpsy-021815-092936","doi":"https://doi.org/10.1146/annurev-clinpsy-021815-092936","is_oa":false,"landing_page_url":"https://doi.org/10.1146/annurev-clinpsy-021815-092936","pdf_url":null,"source":{"id":"https://openalex.org/S87014875","display_name":"Annual Review of Clinical Psychology","issn_l":"1548-5943","issn":["1548-5943","1548-5951"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","jufo-3","ki-jl-1","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320373","host_organization_name":"Annual Reviews","host_organization_lineage":["https://openalex.org/P4310320373"],"host_organization_lineage_names":["Annual Reviews"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annual Review of Clinical Psychology","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070849148","display_name":"David Mechanic","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102322142","display_name":"Rutgers, The State University of New Jersey","ror":"https://ror.org/05vt9qd57","country_code":"US","type":"education","lineage":["https://openalex.org/I102322142"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David Mechanic","raw_affiliation_strings":["Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, New Jersey 08901;","Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, New Jersey 08901; email: mechanic@rci.rutgers.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, New Jersey 08901;","institution_ids":["https://openalex.org/I102322142"]},{"raw_affiliation_string":"Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, New Jersey 08901; email: mechanic@rci.rutgers.edu","institution_ids":["https://openalex.org/I102322142"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015272156","display_name":"Mark Olfson","orcid":"https://orcid.org/0000-0002-3958-5662","observed_orcids":["https://orcid.org/0000-0002-3958-5662"]},"institutions":[{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]},{"id":"https://openalex.org/I4388891851","display_name":"New York State Psychiatric Institute","ror":"https://ror.org/04aqjf708","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4388891851"]},{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mark Olfson","raw_affiliation_strings":["Department of Psychiatry, Columbia University/New York State Psychiatric Institute, New York, New York 10032;","Department of Psychiatry, Columbia University/New York State Psychiatric Institute, New York, New York 10032; email: mo49@cumc.columbia.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Columbia University/New York State Psychiatric Institute, New York, New York 10032;","institution_ids":["https://openalex.org/I4388891851","https://openalex.org/I78577930"]},{"raw_affiliation_string":"Department of Psychiatry, Columbia University/New York State Psychiatric Institute, New York, New York 10032; email: mo49@cumc.columbia.edu","institution_ids":["https://openalex.org/I2799503643","https://openalex.org/I4388891851","https://openalex.org/I78577930"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.6423,"has_fulltext":false,"cited_by_count":73,"citation_normalized_percentile":{"value":0.89240506,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":100},"biblio":{"volume":"12","issue":"1","first_page":"515","last_page":"542"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8393999934196472,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8393999934196472,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.06930000334978104,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.065700002014637,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/affordable-care-act","display_name":"Affordable Care Act","score":1.0},{"id":"https://openalex.org/keywords/access-to-mental-health-care","display_name":"access to mental health care","score":0.8999999761581421},{"id":"https://openalex.org/keywords/medicaid-expansion","display_name":"Medicaid expansion","score":0.7649999856948853},{"id":"https://openalex.org/keywords/pre-existing-conditions","display_name":"pre-existing conditions","score":0.9259999990463257},{"id":"https://openalex.org/keywords/accountable-care-organizations","display_name":"accountable care organizations","score":0.9419999718666077},{"id":"https://openalex.org/keywords/health-homes","display_name":"health homes","score":0.9940000176429749},{"id":"https://openalex.org/keywords/primary-care-integration","display_name":"primary care integration","score":0.6470000147819519},{"id":"https://openalex.org/keywords/severe-and-persistent-mental-illness","display_name":"severe and persistent mental illness","score":0.9010000228881836},{"id":"https://openalex.org/keywords/collaborative-care","display_name":"collaborative care","score":0.8109999895095825},{"id":"https://openalex.org/keywords/behavioral-health-workforce","display_name":"behavioral health workforce","score":0.9089999794960022},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.3799999952316284}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6700407266616821},{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.6666961908340454},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.6204684376716614},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.5944105386734009},{"id":"https://openalex.org/C2776643233","wikidata":"https://www.wikidata.org/wiki/Q1414593","display_name":"Patient Protection and Affordable Care Act","level":4,"score":0.5433422327041626},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5226587653160095},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5023789405822754},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.46526220440864563},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.39088448882102966},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.16652855277061462},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1122182309627533},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008605","descriptor_name":"Mental Health Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058991","descriptor_name":"Patient Protection and Affordable Care Act","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1146/annurev-clinpsy-021815-092936","doi":"https://doi.org/10.1146/annurev-clinpsy-021815-092936","is_oa":false,"landing_page_url":"https://doi.org/10.1146/annurev-clinpsy-021815-092936","pdf_url":null,"source":{"id":"https://openalex.org/S87014875","display_name":"Annual Review of Clinical Psychology","issn_l":"1548-5943","issn":["1548-5943","1548-5951"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","jufo-3","ki-jl-1","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320373","host_organization_name":"Annual Reviews","host_organization_lineage":["https://openalex.org/P4310320373"],"host_organization_lineage_names":["Annual Reviews"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annual Review of Clinical Psychology","raw_type":"journal-article"},{"id":"pmid:26666969","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26666969","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annual review of clinical psychology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":107,"referenced_works":["https://openalex.org/W76136046","https://openalex.org/W368465116","https://openalex.org/W608204365","https://openalex.org/W626233338","https://openalex.org/W635114568","https://openalex.org/W640553068","https://openalex.org/W656836825","https://openalex.org/W1255715905","https://openalex.org/W1550899849","https://openalex.org/W1576481676","https://openalex.org/W1640964433","https://openalex.org/W1729068043","https://openalex.org/W1913471466","https://openalex.org/W1956418028","https://openalex.org/W1964390968","https://openalex.org/W1966837287","https://openalex.org/W1967834969","https://openalex.org/W1969792227","https://openalex.org/W1971927455","https://openalex.org/W1973762507","https://openalex.org/W1978560738","https://openalex.org/W1978725349","https://openalex.org/W1982216769","https://openalex.org/W1991760341","https://openalex.org/W1995107966","https://openalex.org/W1999935101","https://openalex.org/W2005002663","https://openalex.org/W2009994135","https://openalex.org/W2010464927","https://openalex.org/W2011188402","https://openalex.org/W2012841084","https://openalex.org/W2017435839","https://openalex.org/W2018625666","https://openalex.org/W2022501705","https://openalex.org/W2029496142","https://openalex.org/W2030382627","https://openalex.org/W2031322195","https://openalex.org/W2031624576","https://openalex.org/W2038896562","https://openalex.org/W2042386526","https://openalex.org/W2051920910","https://openalex.org/W2053850162","https://openalex.org/W2061747057","https://openalex.org/W2063529723","https://openalex.org/W2064853633","https://openalex.org/W2069790930","https://openalex.org/W2076312360","https://openalex.org/W2086197871","https://openalex.org/W2086627928","https://openalex.org/W2088622828","https://openalex.org/W2091234690","https://openalex.org/W2094482298","https://openalex.org/W2094714377","https://openalex.org/W2095598339","https://openalex.org/W2096454749","https://openalex.org/W2096518181","https://openalex.org/W2098039188","https://openalex.org/W2098341654","https://openalex.org/W2102297132","https://openalex.org/W2103940893","https://openalex.org/W2103982358","https://openalex.org/W2104475220","https://openalex.org/W2114487236","https://openalex.org/W2121844823","https://openalex.org/W2122432644","https://openalex.org/W2122775094","https://openalex.org/W2122819936","https://openalex.org/W2123708834","https://openalex.org/W2123768111","https://openalex.org/W2123977310","https://openalex.org/W2124986247","https://openalex.org/W2125361801","https://openalex.org/W2127938426","https://openalex.org/W2130689643","https://openalex.org/W2131825515","https://openalex.org/W2133828535","https://openalex.org/W2136763752","https://openalex.org/W2136807085","https://openalex.org/W2137446611","https://openalex.org/W2141321397","https://openalex.org/W2141951236","https://openalex.org/W2147735030","https://openalex.org/W2149115787","https://openalex.org/W2149383631","https://openalex.org/W2153327521","https://openalex.org/W2153731374","https://openalex.org/W2154540926","https://openalex.org/W2159061031","https://openalex.org/W2159365271","https://openalex.org/W2159831500","https://openalex.org/W2162998265","https://openalex.org/W2163463353","https://openalex.org/W2168474679","https://openalex.org/W2169684959","https://openalex.org/W2169831533","https://openalex.org/W2224880012","https://openalex.org/W2261741861","https://openalex.org/W2315894398","https://openalex.org/W2318334766","https://openalex.org/W2328998486","https://openalex.org/W2601646175","https://openalex.org/W2731845898","https://openalex.org/W3142899777","https://openalex.org/W4230046730","https://openalex.org/W4233316593","https://openalex.org/W4388064667","https://openalex.org/W4388367168"],"related_works":["https://openalex.org/W2064853633","https://openalex.org/W2094206184","https://openalex.org/W2098406512","https://openalex.org/W2086197871","https://openalex.org/W3199621522","https://openalex.org/W2291327435","https://openalex.org/W2910123486","https://openalex.org/W2010055632","https://openalex.org/W4205844445","https://openalex.org/W760688259"],"abstract_inverted_index":{"Provisions":[0],"of":[1,21,79],"the":[2,19,77,100,146],"Affordable":[3],"Care":[4,58],"Act":[5],"provide":[6,65],"unprecedented":[7],"opportunities":[8],"for":[9,17,47,67,104],"expanded":[10],"access":[11],"to":[12,24,98,110],"behavioral":[13,72,147],"health":[14,60,73,90,113,148],"care":[15,33,70,106,134],"and":[16,30,40,43,52,62,71,75,87,94,107,121,135,142,144],"redesigning":[18],"provision":[20],"services.":[22,114],"Key":[23],"these":[25],"reforms":[26],"is":[27,123],"establishing":[28],"mental":[29,89,112],"substance":[31],"abuse":[32],"as":[34],"essential":[35],"coverage,":[36],"extending":[37],"Medicaid":[38],"eligibility":[39],"insurance":[41,45],"parity,":[42],"protecting":[44],"coverage":[46],"persons":[48,84],"with":[49,85],"preexisting":[50],"conditions":[51],"disabilities.":[53],"Many":[54],"provisions,":[55],"including":[56],"Accountable":[57],"Organizations,":[59],"homes,":[61],"other":[63,136],"structures,":[64],"incentives":[66,141],"integrating":[68],"primary":[69,105],"services":[74,80,101],"coordinating":[76],"range":[78],"often":[81],"required":[82,97],"by":[83],"severe":[86],"persistent":[88],"conditions.":[91],"Careful":[92],"research":[93],"experience":[95],"are":[96],"establish":[99],"most":[102],"appropriate":[103],"effective":[108],"linkage":[109],"specialty":[111],"Research":[115],"providing":[116],"guidance":[117],"on":[118,132],"present":[119],"evidence":[120],"uncertainties":[122],"reviewed.":[124],"Success":[125],"in":[126],"redesign":[127],"will":[128],"follow":[129],"progress":[130],"building":[131],"collaborative":[133],"evidence-based":[137],"practices,":[138,143],"reshaping":[139],"professional":[140],"reinvigorating":[145],"workforce.":[149]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":17},{"year":2021,"cited_by_count":8},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":8},{"year":2017,"cited_by_count":14},{"year":2016,"cited_by_count":4}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}