The study also shed light on the higher societal costs borne by non-Hispanic Black mother–child pairs compared with non-Hispanic White and Hispanic mother–child pairs. The cost for Medicaid-covered births was $962 million. The estimated total societal cost of untreated maternal mental health conditions in Texas was $2.2 billion for births that occurred in 2019, accounting once again for costs associated with the parent and child from conception to five years after birth. The research in 2019 inspired a follow-up study by Mathematica in 2021 in Texas, which had similar findings. The model estimated the cost to be $14.2 billion, or roughly $32,000 per birthing person and their child. With support from the California Health Care Foundation, the Perigee Fund, and the ZOMA Foundation, Mathematica developed a model that estimated the total societal cost of maternal mental health conditions for all births in 2017 in the three states and in the United States as a whole, accounting for costs associated with the parent and child from conception to five years after delivery. In 2019, Mathematica worked with philanthropic partners in three states-California, Washington, and Colorado-to calculate the national economic costs of these maternal mental health conditions. Although these disorders are common, they often go undiagnosed and untreated, which can negatively affect the long-term physical, emotional, and developmental health of the birthing parent and child. These disorders affect an estimated one in seven birthing people, and there is good reason to believe that the true number is much higher. Perinatal mood and anxiety disorders-which can include depression, suicidal thoughts, and panic attacks-affect birthing people during pregnancy and the postpartum period.
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