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How Do Mental Health Treatment Delays Impact Long Term Mortality?
Sydney Costantini
American Economic Review (Forthcoming)
Abstract
With a growing mental health crisis and a shortage of behavioral health specialists, those seeking
mental health treatment often face long wait times to obtain care. I study how clinic congestion
affects mortality for veterans experiencing mental health emergencies. I find that longer waiting
times make it more likely that patients miss their follow up mental health visit, consequently
increasing the probability that they permanently disengage from care. A one standard deviation
increase in wait time between the ED visit and follow up appointment date (11.7 days) increases
two-year mortality by about 1.5%.