Sarah C. Blake

Describes how Medicaid policies create challenges for the delivery and receipt of mental health treatment for low-income youth in Georgia. We conducted focus groups with caregivers of Medicaid-enrolled children with ADHD and semi-structured interviews with providers and administrators at four safety net clinics that provided mental health care to these youth. Stakeholders reported that prior authorization policies for psychosocial services, restrictiveness of preferred drug lists, and changes in preferred drug lists in Medicaid plans created barriers to treatment continuity and quality for youth with ADHD and led to more administrative burden for safety-net clinics serving these youth.

Assesses the impact of Georgia's family planning demonstration waiver upon access to and use of contraceptive and preventive health services within Title X and Medicaid. Our findings suggest that implementation of the Georgia family planning demonstration waiver contributed to the increased use of higher effectiveness contraceptive methods, including LARCs, within the Medicaid and Title X programs as well as the increased use of preventive screenings among Title X clients. However, when the full population of low-income Georgia women targeted by the waiver was considered, a greater percentage was not served over the demonstration period.

Examines the cervical cancer experiences of women enrolled in Georgia's Women's Health Medicaid Program (WHMP). Results suggest that many women, especially African Americans, lacked understanding and recognition of early symptoms of cervical cancer, which prevented them from receiving a timely diagnosis. Additionally, participants responded positively to provider support and good communication but wished that their doctors explained their diagnosis more clearly. Finally, women were able to enroll in Medicaid without difficulty due largely to the assistance of clinical staff. These findings support the need to strengthen provider education and public health efforts to reach low-income and minority communities for screening and early detection of cervical cancer.

Describes the San Diego County model for nursing home emergency preparedness, known as the area coordinator system, and discusses its strengths and limitations, and whether it ought to be replicated in other areas of the country.

Explores the field of knowledge utilization. Evaluators have made long‐standing contributions to understanding knowledge utilization. Different models or ways to think about knowledge utilization have evolved to reflect different perspectives, contexts, and stages of the process, from knowledge creation to the use of effectiveness results in policymaking.

Describes the major policies and programs that serve as facilitators and barriers in the the U.S. health care system.