Date of Conferral
Doctor of Healthcare Administration (D.H.A.)
Disparity in access to appropriate mental health care among African Americans compared to non-Hispanic Whites is growing. The purpose of this quantitative retrospective study was to examine the relationship between access to an outpatient mental health facility with case management and access to outpatient mental health services among African Americans with Medicaid compared to non-Hispanic Whites with Medicaid. The theoretical framework was based on the conceptual framework for integration created by PATH. The study addressed whether there is a difference in the number of African Americans compared to non-Hispanic White patients with Medicaid in access to an outpatient mental health facility with a case manager. In addition, the study addressed whether there is a difference across ethnicities in access to mental health care as measured by the number of completed mental health assessments between Medicaid patients with a case manager compared to those without a case manager. Secondary data from the 2016 National Mental Health Services Survey were analyzed using chi-square and logistic regression analyses. Results showed that African Americans were less likely to have access to an outpatient facility with a case manager, in addition to even when given a case manager were less likely to have access to mental health services compared to non-Hispanic Whites. Results may prompt professionals to implement a case management intervention for all outpatient mental health facilities within the United States, and may provide researchers with information needed to enhance the mental health delivery system for African Americans.
Taylor, Kira-Jai Jayne, "Role of Case Management in Access to Mental Health Care Among African Americans With Medicaid" (2021). Walden Dissertations and Doctoral Studies. 10688.