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The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
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Quarterly Topic
Quarterly Opinion
April 2026 Heidi L. Allen,
For patients who have exhausted evidence-based therapies—including selective serotonin reuptake inhibitors (SSRIs), atypical antipsychotics, and cognitive behavioral interventions—access to experimental treatments should be no less available than it is for individuals with refractory cancer or Parkinson’s disease. More
Quarterly Article
March 2026 Iliya Gutin, Jennifer Karas Montez, Emily Wiemers, Shannon M. Monnat, Douglas A. Wolf,
Mental health among US working-age adults notably worsened during the COVID-19 pandemic, following a steady decades-long decline. The impact of states’ COVID-19 policies on mental health has received much attention; however, less is known about the impact of a broader set of long-standing and overarching state policy contexts. More
December 2025 Guangyi Wang, Daniel F. Collin, Deborah Karasek, Rita Hamad,
In July 2021, to alleviate material hardship, Congress temporarily expanded the Child Tax Credit (CTC), one of the largest income transfer programs in the United States. Prior research has linked the expansion to improvements in material hardship, food insecurity, and parental mental health. This study is among the first to examine its association with child well-being. More
December 2025 Abdinasir K. Ali, Emily C. Dore, Rita Hamad,
In 2021, Congress expanded the earned income tax credit (EITC)—the largest US poverty alleviation program—to young adults without children who had previously been ineligible. More
August 2025 Amanda I. Mauri, Zoe Lindenfeld, Charley Willison, THERESE L. TODD, Jonathan Purtle, DIANA SILVER,
Individuals with behavioral health disorders are more likely to experience substantial harm from a police encounter, prompting reforms to minimize encounters between police and people experiencing a behavioral health crisis. One strategy involves expanding partnerships between certified community behavioral health clinic (CCBHC) mobile crisis teams and emergency response systems, often through two models: 911 referral, wherein a CCBHC’s behavioral health practitioner–only team responds to 911 calls, and co-response, wherein a CCBHC clinician joins a police or emergency medical services (EMS) team. More
August 2025 Beth McGinty, Magdalena Cerdá,
The One Big Beautiful Bill Act’s cuts to Medicaid will heighten the nation’s behavioral health crisis. Nationally, each year an estimated 20 to 25% of children and adults have a mental illness1 and 17% of adults and 9% of adolescents have a substance use disorder. More
August 2025 David B. Joyce, Jeffrey Swanson,
Extreme Risk Protection Orders (ERPOs) are an effective legal tool for reducing firearm suicide by temporarily removing access to firearms for certain individuals who exhibit dangerous behavior. Unlike most state laws restricting access to firearms based on status, ERPOs are predicated on the assessment of future risk of harm to self or other, as determined by civil court file finding. More
July 2025 Noa Krawczyk, Hillary Samples,
The United States is facing an ongoing mental health and substance use crisis. In 2023, 58.7 million US adults had a past-year mental illness, 46.3 million had a substance use disorder (SUD), and 20.4 million had both. More
June 2025 Marco Thimm-Kaiser, Katherine Keyes,
The potential adverse effects of social media use for adolescents have received substantial attention. In response, a growing number of state-level social media regulations are emerging in the United States. These policy interventions are being implemented in the context of mixed scientific evidence, forcing policymakers to weigh the need for proactive regulation against the limitations of extant research. We explore policymakers’ publicly stated rationales for social media regulations and contextualize their claims within extant scientific literature. More
June 2025 Annette M. Dekker, Adrian Yen, Andrea Larco Canizalez, Yesenia Perez, David Salazar, Bita Ghafoori, Dorit Saberi, Breena R. Taira,
The Trauma Recovery Center (TRC) model brings comprehensive care to underserved victims of crime, with improvements in PTSD symptoms and quality of life. Funding concerns were the central limitation in model implementation according to TRC staff. More