Medicaid, Race, Utilization of Crisis Services at Community Mental Health Agencies

Christopher R. Larrison, Jordan P. Davis, Oladoyin Okunoren, Gaurav R. Sinha, Samantha M. Hack

Research output: Contribution to journalArticlepeer-review


We compare African-American and White clients receiving services at 13 rural and semi-rural community mental health agencies (CMHAs) and the impact of Medicaid on the use of crisis and outpatient services. SEM was utilized to model the indirect effect of crisis services between the association of Medicaid and total hours of outpatient services. We modeled the moderating effects of race using mixture modeling and latent class. The base model showed a non-significant indirect effect between having Medicaid and total hours of services through the use of crisis services (Indirect effect = 0.01, p =.98). African-American clients who received Medicaid were more likely to use crisis services ((Formula presented.), which was associated with increased hours of outpatient services ((Formula presented.). In general, Medicaid was not related to increase service or crisis service usage. However, African-American clients access crisis services significantly more than White clients.

Original languageEnglish (US)
Pages (from-to)782-789
Number of pages8
JournalResearch on Social Work Practice
Issue number7
StatePublished - Oct 2023


  • African-American adults with serious mental illness
  • community mental health agencies
  • crisis services
  • rural

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Sociology and Political Science
  • General Psychology


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