The Affordable Care Act: policy predictors of integrated care between Hispanic-serving and mainstream mental health organizations

Table 2 Logistic regression analysis on integrated addictions treatment stratified by HSOs and MOs (2014 to 2016)

	Hispanic-serving Organizations (N = 2159)			Mainstream Organizations (N = 12,502)
	AOR	95% CI	p-value	AOR	95% CI	p-value
Year
2016	0.69	0.58–0.83	< 0.001	0.77	0.72–0.83	< 0.001
Medicaid expansion	0.99	0.78–1.24	0.898	0.93	0.86–1.00	0.062
Medicaid payments accepted	1.59	1.15–2.19	0.005	1.01	0.89–1.15	0.859
Community mental health block grant	1.60	1.31–1.94	< 0.001	1.75	1.61–1.90	< 0.001
Medicaid Expansion Interaction Terms
Medicaid expansion x Medicaid payments accepted	1.09	0.50–2.37	0.831	1.16	0.91–1.47	0.242
Medicaid expansion x CMHC	1.45	0.90–2.32	0.129	0.87	0.74–1.02	0.080
Medicaid expansion x CMHBG	1.25	0.80–1.95	0.321	1.01	0.86–1.17	0.939
Time Interactions
Medicaid expansion × 2016	0.68	0.44–1.05	0.077	0.85	0.73–0.98	0.028
Medicaid payments accepted × 2016	0.68	0.36–1.27	0.224	0.84	0.66–1.06	0.141
CMHC × 2016	1.74	1.14–2.66	0.010	0.89	0.76–1.05	0.159
CMHBG × 2016	1.38	0.95–2.02	0.095	0.90	0.78–1.05	0.177

Note. AOR Adjusted Odds Ratio. All models accounted for control (ownership, organization size, community mental health center, % youth, % adults, % older adults, and % female), Medicaid expansion (Medicaid expansion, Medicaid payments accepted, Community mental health block grant), and time variables. Interaction models controlled for all main effects, including control variables. Interaction terms were conducted separately from each other. Year: 2010 is the reference category. Ownership: public departments is the reference categories. CMHC Community mental health center, CMHBG Community mental health block grant

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