Half of suicidal children on Medicaid lack timely follow-up care

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Half of Medicaid-enrolled children hospitalized or seen in the emergency department for suicidal thoughts or behaviors did not receive a follow-up visit within one week of discharge, according to a September report from HHS’ Office of Inspector General. 

Here are five things to know:

  1. In 2023, almost 225,000 children ages 10-17 enrolled in Medicaid were hospitalized or visited an emergency department for suicidal thoughts and behaviors. 
  1. The study found that half of children did not received a follow-up visit within a week of discharge — a critical window for suicide prevention efforts. 
  1. When follow-ups did occur most were conducted by counselors, social workers or psychiatrists, rather than primary care providers. 
  1. Experts told the OIG that shortages of behavioral health providers and difficulty connecting families to care are key barriers to timely follow-up, the report said. 
  1. The Office of Inspector General urges CMS to support low-performing state in improving access to suicide-related follow-up care for children. 

Read the full report here.

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