American Psychiatric Association Presidential Report on the Assessment of Psychiatric Bed Needs in the United States. The psychiatric bed crisis in the United States: Understanding the problem and moving toward solutions. American Journal of Psychiatry, 2022; 179(8):586–588. Available at https://doi.org/10.1176/appi.ajp.22179004 Accessed 11 April, 2025.

Otterson SE, Fristad MA, McBee-Strayer S, et al. Length of stay and readmission data for adolescents psychiatrically treated on a youth crisis stabilization unit versus a traditional inpatient unit. Evidence-Based Practice in Child and Adolescent Mental Health, 2021; 6(4):484–489. Available at https://doi.org/10.1080/23794925.2021.1986868. Accessed 11 April, 2025.

Connell SK, Rutman LE, Whitlock KB, et al. Health care reform, length of stay, and readmissions for child mental health hospitalizations. Hospital Pediatrics, 2020; 10(3):238–245. Available at https://doi.org/10.1542/hpeds.2019-0197. Accessed 11 April, 2025.

Arakelyan M, Freyleue S, Avula D, et al. Pediatric mental health hospitalizations at acute care hospitals in the US, 2009–2019. JAMA, 2023; 329(12):1000–1011. Available at https://doi.org/10.1001/jama.2023.1992. Accessed 11 April, 2025.

Residential Treatment Programs. Washington, DC: American Academy of Child and Adolescent Psychiatry. Available at https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Residential-Treatment-Programs-097.aspx, 2023. Accessed 11 April, 2025.

DeJong SM, Arroyo W, Axelson A, et al. Child and adolescent psychiatric beds. In: The Psychiatric Bed Crisis in the U.S.: Understanding the Problem and Moving Toward Solutions. Washington, DC: American Psychiatric Association, 2022, pp. 84–111. Available at https://www.psychiatry.org/getmedia/81f685f1-036e-4311-8dfc-e13ac425380f/APA-Psychiatric-Bed-Crisis-Report-Full.pdf. Accessed 11 April, 2025.

Wolff JC, Maron M, Chou T, et al. Experiences of child and adolescent psychiatric patients boarding in the emergency department from staff perspectives: Patient journey mapping. Administration and Policy in Mental Health and Mental Health Services Research, 2023; 50(3):417–426. Available at https://doi.org/10.1007/s10488-022-01249-4. Accessed 11 April, 2025.

McEnany FB, Ojugbele O, Doherty JR, et al. Pediatric mental health boarding. Pediatrics, 2020; 146(4):e20201174. Available at https://doi.org/10.1542/peds.2020-1174. Accessed 11 April, 2025.

Lo CB, Bridge JA, Shi J, et al. Children’s mental health emergency department visits: 2007–2016. Pediatrics, 2020; 145(6):e20191536. Available at https://doi.org/10.1542/peds.2019-1536. Accessed 11 April, 2025.

Shaw, RG. Experiences and Lessons Learned in States with On-Line Databases (Registries) of Available Mental Health Crisis, Psychiatric Inpatient, and Community Residential Placements. Alexandria, VA: National Association of State Mental Health Program Directors; 2018. Available at https://nasmhpd.org/sites/default/files/TAC-Paper-2-NRI-RegistryPaper-508C.pdf. Accessed 21 October, 2024.

Lutterman, T. Trends in Psychiatric Inpatient Capacity, United States and Each State, 1970 to 2018. Alexandria, VA: National Association of State Mental Health Program Directors; 2022. Available at https://www.nasmhpd.org/sites/default/files/2023-01/Trends-in-Psychiatric-Inpatient-Capacity_United-States%20_1970-2018_NASMHPD-2.pdf. Accessed 21 October, 2024.

Ghose SS, Beehler S, Pinals DA, et al. Youth inpatient and residential treatment psychiatric beds: National trends and potential causal factors, 2010–2022. Psychiatric Services, 2025; 76(4):343–349. Available at https://doi.org/10.1176/appi.ps.20240200. Accessed 11 April, 2025.

Hausman J. Specification tests in econometrics. Econometrica, 1978; 46:1251–1271. Available at https://doi.org/10.2307/1913827. Accessed 11 April, 2025.

Breslau J, Han B, Lai J, et al. Impact of the Affordable Care Act Medicaid expansion on utilization of mental health care. Medical Care. 2020; 58(9):757–762. Available at https://doi.org/10.1097/MLR.0000000000001373. Accessed 11 April, 2025.

Ortega, A. Medicaid expansion and mental health treatment: Evidence from the Affordable Care Act. Health Economics, 2023; 32(4):755–806. Available at https://doi.org/10.1002/hec.4633. Accessed 11 April, 2025.

Guth, M, Saunders, H, Niles, L, et al. How do States Deliver, Administer, and Integrate Behavioral Health Care? Findings from a Survey of State Medicaid Programs. Washington, DC: Kaiser Family Foundation, 2023. Available at https://www.kff.org/mental-health/issue-brief/how-do-states-deliver-administer-and-integrate-behavioral-health-care-findings-from-a-survey-of-state-medicaid-programs. Accessed 11 April, 2025.

10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision. San Franciso, CA: Kaiser Family Foundation. Available at https://www.kff.org/medicaid/issue-brief/10-things-to-know-about-the-unwinding-of-the-medicaid-continuous-enrollment-provision; 2023. Accessed 09 June, 2025.

Psychologists Struggle to Meet Demand Amid Mental Health Crisis: 2022 COVID-19 Practitioner Impact Survey. Washington, DC: American Psychological Association. Available at https://www.apa.org/pubs/reports/practitioner/2022-covid-psychologist-workload, 2022. Accessed 11 April, 2025.

Understanding the U.S. Behavioral Health Workforce Shortage. New York, NY: The Commonwealth Fund. Available at https://www.commonwealthfund.org/publications/explainer/2023/may/understanding-us-behavioral-health-workforce-shortage, 2023. Accessed 11 April, 2025.

Lu W, Todhunter-Reid A, Mitsdarffer ML, et al. (2021). Barriers and facilitators for mental health service use among racial/ethnic minority adolescents: A systematic review of literature. Frontiers in Public Health, 2021; 9:641605. Available at https://doi.org/10.3389/fpubh.2021.641605. Accessed 11 April, 2025.

Carson N, Cook B, Alegría M. Social determinants of mental health treatment among Haitian, African American and white youth in community health centers. Journal of Health Care for the Poor and Underserved, 2010; 21(2):32–48. Available at https://doi.org/10.1353/hpu.0.0297. Accessed 11 April, 2025.

Howell E, McFeeters J. Children’s mental health care: Differences by race/ethnicity in urban/rural areas. Journal of Health Care for the Poor and Underserved, 2008; 19:237–247. Available at https://doi.org/10.1353/hpu.2008.0008. Accessed 11 April, 2025.

Pearsall M, Wilkniss S. Increasing Access to Behavioral Health Services: Opportunities at the State and Federal Level. Washington, DC: National Academy for State Health Policy. Available at https://nashp.org/increasing-access-to-behavioral-health-services-opportunities-at-the-state-and-federal-level/; 2023. Accessed 09 June, 2025.