Mental Health & Substance Abuse Centers


Some potential points to spur discussion:

  • Counties can present structural as well as economic barriers to mental health and substance abuse center establishments seeking to locate there. For example, the presence of potential patients may not be enough to remain a viable business. Instead these establishments may require an additional location specific feature such as a highly skilled labor force, a high per capita income, or a high share of residents with financial access to health care to sustain a viable business.
  • Many mental health and substance abuse employers avoid rural areas, but this is offset in some areas by at least some small practice mental health physicians locating in rural areas.
  • Generally, higher shares of insured residents, regardless of private, Medicaid, or Medicare policy holders, lead to a higher likelihood of a county potentially having at least some mental health and substance abuse centers.
  • The only establishment type inversely related to per capita income are outpatient mental health/substance abuse centers, which tend to be larger in areas with higher poverty.

For the detailed journal article from which this map derives, see Van Sandt, Anders, Craig Wesley Carpenter, Rebekka Dudensing, and Scott Loveridge. 2021. “Estimating Determinants of Healthcare Establishment Locations with Restricted Federal Administrative Data.” Under review.

This project was supported by the Agricultural and Food Research Initiative Competitive Program of the USDA National Institute of Food and Agriculture (NIFA), award number 2017-67023-26242.


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