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Mental Health and Labor Market Outcomes (2/02)
Background: Recent studies have documented the prevalence of mental health disorders and the heightened awareness among researchers and policy makers that mental illness constitutes a major public health problem throughout the world. By 2010, mental disorders are predicted to account for 15 percent of the global disease burden. Public debate over mental health polices is hampered by limited or old data that leads to widely diverging assumptions about trends in the health care market, such as changes in insurance benefits or the growth of managed care, or in treatment patterns, or the substitution of outpatient for inpatient care. This uncertainty about financial and social costs of mental health policy reduces the possibility that efficient polices will be enacted.
The Healthcare for Communities (HCC) component of the Robert Wood Johnson Foundation's Health Tracking Initiative is providing the new data urgently needed by analysts. Ongoing HCC data collection, through a household survey conducted every 2 years, focuses on how mental health care delivery and mental health outcomes vary both demographically, geographically, and over time. Study goals: The goal of this study is to investigate the relationship between mental health disorders and an individual's labor market outcomes, such as labor force participation, job turnover, hours worked, and earnings. By providing better information on the complex relationship between mental illness and labor market outcomes, this project will provide new insights on the consequences of recent and ongoing policy and market changes, including employment-based mental health parity mandates and social welfare policy for low-income populations. Methods: This study will use both cross-sectional and panel data techniques in its analysis of the first two waves of HCC household survey data. The work involves the following analysis plan: Analyze the point-in time relationship between mental health and labor market outcomes, paying particular attention to their simultaneous determination and considering a broad range of outcomes including labor force participation, employment status, wages, hours of employment, number of employers, and continuity of employment; Study the indirect impact of labor market outcomes through insurance status and income on access to care, utilization, and quality of care; and Study the dynamic relationship between mental health and labor market outcomes, including investigation of the reduced form relationship as well as analysis of the mediating influences of insurance and wealth. Current status: Ongoing. |
Principal Investigators: Sponsored by: |
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Last updated on 4/11/2007 |