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This analysis documents geographic disparities in mental health treatment utilization in older populations, highlighting implications for access and outcomes.
The older population bears a heavy burden of mental illness. Despite the availability of effective treatments, including services (e.g., psychotherapy) and drugs (e.g., antidepressants, antipsychotics), this paper documents substantial geographic variation in treatment utilization rates among Medicare enrollees. Exploiting patient migration, I show that 45.8 percent of service utilization variation is attributable to place-specific factors, compared to 15.1 percent for drug utilization. Further analyses suggest the role of provider accessibility in explaining the different place effects between service and drug use. Regarding health outcomes, I find that higher treatment utilization is associated with lower risks of self-harm-related emergency department visits. (JEL H75, I12, I13, I18)
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Ding Hy (2026) studied this question.
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