How Do Mental Health Treatment Delays Impact Long-Term Mortality?

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 1 standard deviation increase in wait time between the emergency department visit and follow-up appointment date (11.7 days) increases two-year mortality by about 1.5 percent. (JEL H51, I12, I13, I18)

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Publication Details

Journal
American Economic Review
Published
2025-05-01
DOI
https://doi.org/10.1257/aer.20240226
Citations
5
Primary Topic
Health disparities and outcomes
Type
article
Field-Weighted Citation Impact
10.84
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article

How Do Mental Health Treatment Delays Impact Long-Term Mortality?

Sydney Costantini
5 citations
American Economic Review
Health disparities and outcomes
10.84
article

How Do Mental Health Treatment Delays Impact Long-Term Mortality?

Sydney Costantini
article en
5 citations

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 1 standard deviation increase in wait time between the emergency department visit and follow-up appointment date (11.7 days) increases two-year mortality by about 1.5 percent. (JEL H51, I12, I13, I18)

American Economic ReviewVol. 115(5)
University of California, Berkeley (US)
Openalex Percentile: Top 2%
Health disparities and outcomes
10.84
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