IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v305y2022ics0277953622003483.html
   My bibliography  Save this article

State-level changes in health insurance coverage and parental substance use-associated foster care entry

Author

Listed:
  • Stritzel, Haley

Abstract

For many families whose children are placed in foster care, initial contact with the child welfare system occurs due to interactions with the healthcare system, particularly in the context of the opioid epidemic and increased attention to prenatal drug exposure. In the last decade, many previously uninsured families have gained Medicaid health coverage, which has implications for their access to healthcare services and visibility to mandatory reporters. Using administrative foster care case data from the Adoption and Foster Care Analysis and Reporting System Foster Care Files and health insurance data from the American Community Survey, this study analyzes the associations between state-level health insurance coverage and rates of foster care entry due to parental substance use between 2009 and 2019. State-level fixed effects models revealed that public, but not private, health insurance rates were positively associated with rates of foster care entry due to parental substance use. These results support the hypothesis that health insurance coverage may promote greater contact with mandatory reporters among low-income parents with substance use disorders. Furthermore, this study illustrates how healthcare policy may have unintended consequences for the child welfare system.

Suggested Citation

  • Stritzel, Haley, 2022. "State-level changes in health insurance coverage and parental substance use-associated foster care entry," Social Science & Medicine, Elsevier, vol. 305(C).
    • Handle: RePEc:eee:socmed:v:305:y:2022:i:c:s0277953622003483
    DOI: 10.1016/j.socscimed.2022.115042
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953622003483
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2022.115042?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Han, X. & Call, K.T. & Pintor, J.K. & Alarcon-Espinoza, G. & Simon, A.B., 2015. "Reports of insurance-based discrimination in health care and its association with access to care," American Journal of Public Health, American Public Health Association, vol. 105, pages 517-525.
    2. Lloyd, Margaret H. & Akin, Becci A. & Brook, Jody, 2017. "Parental drug use and permanency for young children in foster care: A competing risks analysis of reunification, guardianship, and adoption," Children and Youth Services Review, Elsevier, vol. 77(C), pages 177-187.
    3. repec:mpr:mprres:7392 is not listed on IDEAS
    4. Frank Edwards & Sara Wakefield & Kieran Healy & Christopher Wildeman, 2021. "Contact with Child Protective Services is pervasive but unequally distributed by race and ethnicity in large US counties," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 118(30), pages 2106272118-, July.
    5. Meinhofer, Angélica & Witman, Allison E., 2018. "The role of health insurance on treatment for opioid use disorders: Evidence from the Affordable Care Act Medicaid expansion," Journal of Health Economics, Elsevier, vol. 60(C), pages 177-197.
    6. Louis‐Philippe Beland & Jason Huh & Dongwoo Kim, 2021. "The effect of Affordable Care Act Medicaid expansions on foster care admissions," Health Economics, John Wiley & Sons, Ltd., vol. 30(11), pages 2943-2951, November.
    7. Sanmartin, Maria X. & Ali, Mir M. & Lynch, Sean, 2019. "Foster care admissions and state-level criminal justice-focused prenatal substance use policies," Children and Youth Services Review, Elsevier, vol. 102(C), pages 102-107.
    8. Atkins, Danielle N. & Durrance, Christine Piette, 2021. "The impact of state-level prenatal substance use policies on infant foster care entry in the United States," Children and Youth Services Review, Elsevier, vol. 130(C).
    9. Meinhofer, Angélica & Onuoha, Erica & Angleró-Díaz, Yohanis & Keyes, Katherine M., 2020. "Parental drug use and racial and ethnic disproportionality in the U.S. foster care system," Children and Youth Services Review, Elsevier, vol. 118(C).
    10. Louis-Philippe Beland & Jason Huh & Dongwoo Kim, 2021. "The Effect of ACA Medicaid Expansions on Foster Care Admissions," Carleton Economic Papers 21-07, Carleton University, Department of Economics.
    11. Jevay Grooms & Alberto Ortega, 2019. "Examining Medicaid Expansion and the Treatment of Substance Use Disorders," AEA Papers and Proceedings, American Economic Association, vol. 109, pages 187-192, May.
    12. Sommers, Benjamin D. & Oellerich, Donald, 2013. "The poverty-reducing effect of Medicaid," Journal of Health Economics, Elsevier, vol. 32(5), pages 816-832.
    13. Fong, Kelley, 2017. "Child welfare involvement and contexts of poverty: The role of parental adversities, social networks, and social services," Children and Youth Services Review, Elsevier, vol. 72(C), pages 5-13.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Beard, Lauren M. & Choi, Kyung Won, 2024. "Disrupted family reunification: Mental health, race, and state-level factors," Social Science & Medicine, Elsevier, vol. 348(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fred Wulczyn & Xiaomeng Zhou & Jamie McClanahan & Scott Huhr & Kristen Hislop & Forrest Moore & Emily Rhodes, 2023. "Race, Poverty, and Foster Care Placement in the United States: Longitudinal and Cross-Sectional Perspectives," IJERPH, MDPI, vol. 20(16), pages 1-19, August.
    2. Angélica Meinhofer & Allison Witman & Johanna Catherine Maclean & Yuhua Bao, 2022. "Prenatal substance use policies and newborn health," Health Economics, John Wiley & Sons, Ltd., vol. 31(7), pages 1452-1467, July.
    3. Meinhofer, Angélica & Witman, Allison E. & Hinde, Jesse M. & Simon, Kosali, 2021. "Marijuana liberalization policies and perinatal health," Journal of Health Economics, Elsevier, vol. 80(C).
    4. Hamersma, Sarah & Maclean, Johanna Catherine, 2021. "Do expansions in adolescent access to public insurance affect the decisions of substance use disorder treatment providers?," Journal of Health Economics, Elsevier, vol. 76(C).
    5. Johanna Catherine Maclean & Justine Mallatt & Christopher J. Ruhm & Kosali Simon, 2022. "The Opioid Crisis, Health, Healthcare, and Crime: A Review of Quasi-Experimental Economic Studies," The ANNALS of the American Academy of Political and Social Science, , vol. 703(1), pages 15-49, September.
    6. Maclean, Johanna Catherine & Tello-Trillo, Sebastian & Webber, Douglas, 2023. "Losing insurance and psychiatric hospitalizations," Journal of Economic Behavior & Organization, Elsevier, vol. 205(C), pages 508-527.
    7. Lindsey Rose Bullinger, 2021. "Child Support and the Affordable Care Act's Medicaid Expansions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(1), pages 42-77, January.
    8. Lindsey Rose Bullinger & Maithreyi Gopalan & Caitlin McPherran Lombardi, 2023. "Impacts of publicly funded health insurance for adults on children's academic achievement," Southern Economic Journal, John Wiley & Sons, vol. 89(3), pages 860-884, January.
    9. Erkmen G. Aslim & Murat C. Mungan & Carlos I. Navarro & Han Yu, 2022. "The Effect of Public Health Insurance on Criminal Recidivism," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 41(1), pages 45-91, January.
    10. Lindsey Rose Bullinger & Sebastian Tello-Trillo, 2021. "Connecting Medicaid and child support: evidence from the TennCare disenrollment," Review of Economics of the Household, Springer, vol. 19(3), pages 785-812, September.
    11. Atkins, Danielle N. & Durrance, Christine Piette, 2021. "The impact of state-level prenatal substance use policies on infant foster care entry in the United States," Children and Youth Services Review, Elsevier, vol. 130(C).
    12. Stephanie Lange & Claire-Marie Altrock & Emily Gossmann & Jörg M. Fegert & Andreas Jud, 2022. "COVID-19—What Price Do Children Pay? An Analysis of Economic and Social Policy Factors," IJERPH, MDPI, vol. 19(13), pages 1-15, June.
    13. Bidisha Mandal & Nilton Porto & D. Elizabeth Kiss & Soo Hyun Cho & Lorna Saboe‐Wounded Head, 2023. "Health insurance coverage during the COVID‐19 pandemic: The role of Medicaid expansion," Journal of Consumer Affairs, Wiley Blackwell, vol. 57(1), pages 296-319, January.
    14. Alipio, Mark, 2020. "A Path Analysis Examining the Relationship Between Access Barriers to Health Services and Healthcare Utilization Among the Publicly Insured: Insights from a Multiprovince Survey in the Philippines," SocArXiv d6vbm, Center for Open Science.
    15. Emily Keddell, 2022. "Mechanisms of Inequity: The Impact of Instrumental Biases in the Child Protection System," Societies, MDPI, vol. 12(3), pages 1-19, May.
    16. Hicks, Jeffrey & Simard-Duplain, Gaëlle & Green, David A. & Warburton, William, 2022. "The effect of reducing welfare access on employment, health, and children's long-run outcomes," CLEF Working Paper Series 51, Canadian Labour Economics Forum (CLEF), University of Waterloo.
    17. David Powell & Rosalie Liccardo Pacula, 2021. "The Evolving Consequences of OxyContin Reformulation on Drug Overdoses," American Journal of Health Economics, University of Chicago Press, vol. 7(1), pages 41-67.
    18. Matthew T. Knowles, 2022. "How access to addictive drugs affects the supply of substance abuse treatment: Evidence from Medicare Part D," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1649-1675, August.
    19. Peng Peng & Hui Mao, 2023. "The Effect of Digital Financial Inclusion on Relative Poverty Among Urban Households: A Case Study on China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 165(2), pages 377-407, January.
    20. Maria Manuela Calheiros & Sandra Ornelas & Eunice Magalhães & Margarida Vaz Garrido, 2022. "Profiles of Young Children Involved with Child Protection Services in Portugal," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(3), pages 933-958, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:305:y:2022:i:c:s0277953622003483. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.