Table 2.
Compilation and ranking of state policies: results from Rounds 1 and 2 of the modified Delphi process
| Final overall ranking | Policy | Mean (SD) Round 1 | Mean (SD) Round 2 |
|---|---|---|---|
| Insurance | 5.95 | 5.42 | |
| 3 | Increased Medicaid reimbursement rates | N/A | 6.44 (0.76) |
| 4 | Medicaid reimbursement for telemental health services for children | 6.56 (0.85) | 6.29 (1.07) |
| 7 | Medicaid coverage of social–emotional screening for young children | 5.96 (1.22) | 6.12 (1.08) |
| 10 | Medicaid coverage of screening for maternal depression or anxiety under their child's Medicaid plan | 6 (1.33) | 6.06 (0.91) |
| 12 | Medicaid limits on the number of visits with a mental health clinician in a pediatric or family medicine setting | 5.92 (1.25) | 6 (1.15) |
| 13 | Medicaid coverage of parent programs designed to help parents of young children promote children‚ social–emotional development and address children mental health needs | 5.92 (1.52) | 6 (1.05) |
| 14 | Non-financial Medicaid eligibility requirements for a child to receive services | 5.88 (1.61) | 5.89 (0.99) |
| 15 | Medicaid limits on the number of visits with a mental health clinician in early care or education settings | 5.6 (1.53) | 5.83 (1.17) |
| 16 | CHIP financial eligibility criteria | 5.96 (1.26) | 5.72 (1.19) |
| 17 | Medicaid financial eligibility criteria | 6 (1.33) | 5.72 (1.19) |
| 23 | Value-based payments for integrating physical and mental health care | N/A | 5.39 (1.38) |
| 24 | Medicaid coverage of health navigators | 5.69 (1.29) | 5.33 (1.11) |
| Mental Health Services | 5.24 | 5.27 | |
| 2 | State mental health parity | 6.46 (0.81) | 6.61 (0.68) |
| 5 | Mental health workforce development | N/A | 6.28 (1.04) |
| 18 | Scope of practice for mental health providers | 5.59 (1.69) | 5.61 (1.53) |
| 26 | Certified Community Behavioral Health Centers | N/A | 5.07 (1.34) |
| 29 | Anti-stigma campaigns | N/A | 4.78 (1.51) |
| 30 | Age of consent for mental health treatment | N/A | 4.71 (1.32) |
| 32 | State policies that require mental health clinicians to use evidence-based practices | 4.85 (2.05) | 4.67 (1.67) |
| 33 | Medicaid mental health carve-in | 4.05 (2.22) | 4.41 (1.57) |
| School | 6.15 | 5.89 | |
| 1 | School-based mental health services | 6.59 (0.69) | 6.67 (0.67) |
| 9 | School service referrals | 6.23 (1.07) | 6.06 (1.31) |
| 11 | Enforcement of Individualized Education Plan (IEPs) policies through the Individuals with Disabilities Education Act | N/A | 6 (1.24) |
| 21 | School counseling in K-12 | 5.92 (1.55) | 5.44 (1.37) |
| 25 | State mandated classes on social–emotional learning in schools | 5.84 (1.49) | 5.29 (1.45) |
| Social | 4.66 | 5.43 | |
| 6 | State-funded housing assistance programs | 5.81 (1.11) | 6.22 (0.63) |
| 8 | Paid family leave policy | 4.96 (1.83) | 6.12 (0.76) |
| 19 | Non-emergency medical transportation | N/A | 5.56 (1.17) |
| 20 | Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) | N/A | 5.5 (1.3) |
| 22 | State eligibility requirements for childcare subsidies | 4.91 (1.7) | 5.44 (1.12) |
| 27 | Minimum wage laws | 4.08 (1.96) | 5.06 (1.35) |
| 28 | State earned income tax credit | 3.87 (2.12) | 4.88 (1.49) |
| 31 | State-level mandate for evidence-based policy-making | 4.31 (1.76) | 4.67 (1.76) |
Bold indicates the mean and standard deviation for the policy category (i.e., insurance, mental health services, school, social) for each round