Friegpuorert3e.dMnenetdailnhgecaaltrhecare receipt among high-need New Yorkers who
Mental healthcare receipt among high-need New Yorkers who reported needing care Figure 3
Delayed
Received
Forgone
63%
2021
52%
11%
37%
53%
2022
42%
11%
47%
46%
2021
54%
44%
2%
41%
2022
40%
60%
1%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Source: Poverty Tracker longitudinal survey data, cohorts three and four. High-need refers to New Yorkers with high healthcare needs, such as multiple chronic health conditions, serious psychological distress, or a work-limiting health condition. Note: Results are among high-need New Yorkers who reported needing physical healthcare, as shown in Figure 1. Due to rounding, some figures may not total to 100%.
likely to receive such services (Figure 3). While both groups experienced an increase in the receipt of mental healthcare over the course of the pandemic, economically disadvantaged New Yorkers were still more likely to delay or forgo mental healthcare in 2022 (53%) than the more-advantaged (41%). Notably, rates of forgone mental healthcare are much higher than rates of forgone physical healthcare, re- gardless of economic status. In 2022, roughly two in five (42%) economically disadvantaged New Yorkers who needed mental healthcare went without it (Figure 3), while less than one in five (17%) went without physical healthcare (Figure 2). Among the more-advantaged, about the same (40%) who expressed need- ing mental healthcare never received that care—while only 4% of those who expressed needing physical healthcare had to forego it. Mental healthcare services are often less frequently pursued than physical healthcare due to a variety of barriers, including high costs, lack of insurance coverage, and the stigma associated with having and seeking care for mental illness. 7 This pattern echoes in our data: while receipt of mental healthcare services grew modestly over the course of the pandemic, mental healthcare remained generally less accessible than physical healthcare services for many high-need New Yorkers. Overall, high-need New Yorkers, especially those facing economic disadvantage, continued to experience alarmingly high levels of delaying or going without care throughout the pandemic. We now turn to the question of which factors may have been responsible for these patterns. 43% 47% 35% 16%
7 Demyttenaere et al., “Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys”; Andrade et al., “Barriers to mental health treatment: Results from the WHO World Mental Health surveys”; KFF, “Mental health in New York (fact sheet)”; Sareen et al., “Perceived barriers to mental health service utilization in the United States, Ontario, and the Netherlands”; Tomczyk et al., “A prospective study on structural and attitudinal barriers to professional help-seeking for currently untreated mental health problems in the community.”
PATTERNS OF DELAYED HEALTHCARE AMONG NEW YORKERS WITH HIGH HEALTHCARE NEED 8
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