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Waiting for Help: Timely Access to Psychological Support for Young Adults Exposed to Parental Substance Misuse

Author

Listed:
  • Bastien Michel
  • Soeren Albeck Nielsen
  • Morten Hesse
  • Kristine Roemer Thomsen
  • Marianne Simonsen

Abstract

Access to mental health care is often rationed through waiting lists, yet there is limited causal evidence on the consequences of delayed access. We study whether eliminating waiting time for psychological support improves outcomes for young adults who grew up with parental substance misuse. Using a randomized waitlist-controlled trial in Denmark combined with survey and administrative data, we find that immediate access leads to sizable short-run improvements in psychological health. These gains persist three to four years after randomization, even after both groups have received the intervention. By contrast, we find limited evidence of large average effects on broader health or labor market outcomes. Our results highligth the importance of treatment timing in capacity-constrained settings.

Suggested Citation

  • Bastien Michel & Soeren Albeck Nielsen & Morten Hesse & Kristine Roemer Thomsen & Marianne Simonsen, 2026. "Waiting for Help: Timely Access to Psychological Support for Young Adults Exposed to Parental Substance Misuse," Papers 2604.13545, arXiv.org.
    • Handle: RePEc:arx:papers:2604.13545
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    References listed on IDEAS

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    1. Janet Currie & Michael Mueller-Smith & Maya Rossin-Slater, 2022. "Violence While in Utero: The Impact of Assaults during Pregnancy on Birth Outcomes," The Review of Economics and Statistics, MIT Press, vol. 104(3), pages 525-540, May.
    2. Anna Godøy & Venke F. Haaland & Ingrid Huitfeldt & Mark Votruba, 2024. "Hospital Queues, Patient Health, and Labor Supply," American Economic Journal: Economic Policy, American Economic Association, vol. 16(2), pages 150-181, May.
    3. Marika Cabral & Bokyung Kim & Maya Rossin-Slater & Molly Schnell & Hannes Schwandt, 2026. "Trauma at School: The Impacts of Shootings on Students’ Human Capital and Economic Outcomes," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 93(1), pages 327-365.
    4. Alexandre Belloni & Victor Chernozhukov & Christian Hansen, 2014. "Inference on Treatment Effects after Selection among High-Dimensional Controlsâ€," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 81(2), pages 608-650.
    5. Ria Ivandic & Anne Sophie Lassen, 2023. "Gender gaps from labor market shocks," CEP Discussion Papers dp1944, Centre for Economic Performance, LSE.
    6. Sydney Costantini, 2025. "How Do Mental Health Treatment Delays Impact Long-Term Mortality?," American Economic Review, American Economic Association, vol. 115(5), pages 1672-1707, May.
    7. Hamilton, Barton H & Bramley-Harker, Robert Edward, 1999. "The Impact of the NHS Reforms on Queues and Surgical Outcomes in England: Evidence from Hip Fracture Patients," Economic Journal, Royal Economic Society, vol. 109(457), pages 437-462, July.
    8. Ivandić, Ria & Lassen, Anne Sophie, 2023. "Gender gaps from labor market shocks," Labour Economics, Elsevier, vol. 83(C).
    9. Jacob Nielsen Arendt, 2012. "The Demand for Health Care by the Poor under Universal Health Care Coverage," Journal of Human Capital, University of Chicago Press, vol. 6(4), pages 316-335.
    10. Ivandić, Ria & Lassen, Anne Sophie, 2023. "Gender gaps from labor market shocks," LSE Research Online Documents on Economics 119948, London School of Economics and Political Science, LSE Library.
    11. Silviya Nikolova & Mark Harrison & Matt Sutton, 2016. "The Impact of Waiting Time on Health Gains from Surgery: Evidence from a National Patient‐reported Outcome Dataset," Health Economics, John Wiley & Sons, Ltd., vol. 25(8), pages 955-968, August.
    12. Mary F. Evans & Matthew C. Harris & Lawrence M. Kessler, 2022. "The Hazards of Unwinding the Prescription Opioid Epidemic: Implications for Child Maltreatment," American Economic Journal: Economic Policy, American Economic Association, vol. 14(4), pages 192-231, November.
    13. Miriam Bruhn & David McKenzie, 2009. "In Pursuit of Balance: Randomization in Practice in Development Field Experiments," American Economic Journal: Applied Economics, American Economic Association, vol. 1(4), pages 200-232, October.
    14. Cullis, John G. & Jones, Philip R. & Propper, Carol, 2000. "Waiting lists and medical treatment: Analysis and policies," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 23, pages 1201-1249, Elsevier.
    15. Buckles, Kasey & Evans, William N. & Lieber, Ethan M.J., 2023. "The drug crisis and the living arrangements of children," Journal of Health Economics, Elsevier, vol. 87(C).
    16. Ivandic, Ria & Lassen, Anne Sophie, 2023. "Gender gaps from labor market shocks," LSE Research Online Documents on Economics 121285, London School of Economics and Political Science, LSE Library.
    17. Ria Ivandic & Anne Sophie Lassen, 2023. "Gender Gaps From Labor Market Shocks," Upjohn Working Papers 23-387, W.E. Upjohn Institute for Employment Research.
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