• Jung Min Park, Stephen Metraux, and Dennis P Culhane.
• School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA. parkjm@illinois.edu
• J Health Care Poor Underserved. 2010 May 1; 21 (2): 582-90.

ObjectivesThis study compares the use of and cost for behavioral health services among heads of homeless and housed poor families.MethodsMedicaid records for 59,135 heads of families receiving Temporary Assistance to Needy Families benefits were matched with data from Philadelphia's municipal shelter system. Propensity score matching was used to select a matched control group to those identified as having been homeless between 1997 and 2003. Behavioral health services utilization was then assessed based on Medicaid claims records.ResultsSubstantially higher levels of behavioral health services use and corresponding costs were found among heads of families with a history of shelter use.ConclusionsGreater use of behavioral health services by heads of homeless families may reflect greater severity of disorders or a greater likelihood to seek treatment relative to what has been suggested by previous research.

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