Waiting for Help: Timely Access to Psychological Support for Young Adults Exposed to Parental Substance Misuse
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| Main Authors: | , , , , |
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| Format: | Preprint |
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2026
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| _version_ | 1866908965201248256 |
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| author | Michel, Bastien Nielsen, Soeren Albeck Hesse, Morten Thomsen, Kristine Roemer Simonsen, Marianne |
| author_facet | Michel, Bastien Nielsen, Soeren Albeck Hesse, Morten Thomsen, Kristine Roemer Simonsen, Marianne |
| contents | 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. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2604_13545 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | Waiting for Help: Timely Access to Psychological Support for Young Adults Exposed to Parental Substance Misuse Michel, Bastien Nielsen, Soeren Albeck Hesse, Morten Thomsen, Kristine Roemer Simonsen, Marianne General Economics Economics 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. |
| title | Waiting for Help: Timely Access to Psychological Support for Young Adults Exposed to Parental Substance Misuse |
| topic | General Economics Economics |
| url | https://arxiv.org/abs/2604.13545 |