Mental health/medical care cost offsets: Opportunities for managed care

Health Affairs

Volumn 18, Issue 2, 1999, Pages 79-90

  Olfson, Mark ^a   Sing, Merrile ^a   Schlesinger, Herbert J ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADDICTION; ARTICLE; COST; COST CONTROL; ECONOMICS; HEALTH CARE DELIVERY; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; MENTAL DISEASE; MENTAL HEALTH SERVICE; UNITED STATES; UTILIZATION REVIEW;

COST ALLOCATION; COST SAVINGS; HEALTH SERVICES; HEALTH SERVICES ACCESSIBILITY; HUMANS; INSURANCE, HEALTH; MANAGED CARE PROGRAMS; MENTAL DISORDERS; MENTAL HEALTH SERVICES; SUBSTANCE-RELATED DISORDERS; UNITED STATES;

EID: 0033088841     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.18.2.79     Document Type: Article

References (44)

1. Throughout this paper the term mental health relates to substance abuse disorders and other mental disorders, while the term medical relates to all other disorders. G.O. Gabbard et al., "The Economic Impact of Psychotherapy: A Review," American Journal of Psychiatry 154 (1997): 147-155; E. Mumford et al, "A New Look at Evidence about Reduced Cost Medical Utilization following Mental Health Treatment," American Journal of Psychiatry 141 (1984): 1145-1158; and K. Jones and T. Vischi, "Impact of Alcohol, Drug Abuse, and Mental Health Treatment on Medical Care Utilization: A Review of the Research Literature," Medical Care 17 (1979 Supplement): 1-82.
2. Throughout this paper the term mental health relates to substance abuse disorders and other mental disorders, while the term medical relates to all other disorders. G.O. Gabbard et al., "The Economic Impact of Psychotherapy: A Review," American Journal of Psychiatry 154 (1997): 147-155; E. Mumford et al, "A New Look at Evidence about Reduced Cost Medical Utilization following Mental Health Treatment," American Journal of Psychiatry 141 (1984): 1145-1158; and K. Jones and T. Vischi, "Impact of Alcohol, Drug Abuse, and Mental Health Treatment on Medical Care Utilization: A Review of the Research Literature," Medical Care 17 (1979 Supplement): 1-82.
3. Throughout this paper the term mental health relates to substance abuse disorders and other mental disorders, while the term medical relates to all other disorders. G.O. Gabbard et al., "The Economic Impact of Psychotherapy: A Review," American Journal of Psychiatry 154 (1997): 147-155; E. Mumford et al, "A New Look at Evidence about Reduced Cost Medical Utilization following Mental Health Treatment," American Journal of Psychiatry 141 (1984): 1145-1158; and K. Jones and T. Vischi, "Impact of Alcohol, Drug Abuse, and Mental Health Treatment on Medical Care Utilization: A Review of the Research Literature," Medical Care 17 (1979 Supplement): 1-82.
4. R. Sturm and K.B. Wells, "How Can Care for Depression Become More Cost-Effective?" Journal of the American Medical Association 273, no. 1 (1995): 51-58.
5. B.H. McFarland et al., "Enrollment Duration, Service Use, and Costs of Care for Severely Mentally Ill Members of a Health Maintenance Organization," Archives of General Psychiatry 53 (1995): 938-944; and B.G. Druss and R.A. Rosenheck, "Use of Medical Sendees by Veterans with Mental Disorders," Psychosomatics 38 (1997): 451-458.
6. B.H. McFarland et al., "Enrollment Duration, Service Use, and Costs of Care for Severely Mentally Ill Members of a Health Maintenance Organization," Archives of General Psychiatry 53 (1995): 938-944; and B.G. Druss and R.A. Rosenheck, "Use of Medical Sendees by Veterans with Mental Disorders," Psychosomatics 38 (1997): 451-458.
7. J.K. McHugh, M.W. Kahn, and E. Heiman, "Relationships between Mental Health Treatment and Medical Utilization among Low-Income Mexican American Patients: Some Preliminary Findings," Medical Care 15 (1977): 439-444.
8. See, for example, L.G. Kessler et al., "Psychiatric Diagnoses of Medical Service Users: Evidence from the Epidemiologic Catchment Area Program," American Journal of Public Health 77 (1987): 18-24; W.G. Manning and K.B. Wells, "The Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services," Medical Care 30, no. 6 (1992): 541-553; G.E. Simon et al., "Health Care Costs Associated with Depressive and Anxiety Disorders in Primary Care," American Journal of Psychiatry 152 (1995): 352-357; G.E. Simon, M. Von Korff, and W. Barlow, "Health Care Costs of Primary Care Patients with Recognized Depression," Archives of General Psychiatry 52 (1995): 850-856; C.M. Callahan et al, "Longitudinal Study of Depression and Health Services Use among Elderly Primary Care Patients," Journal of the American Geriatric Society 42 (1994): 833-838; and J. Unutzer et al., "Depressive Symptoms and the Cost of Health Services in HMO Patients Aged 65 Years and Older: A 4-Year Prospective Study," Journal of the American Medical Association 277, no. 20 (1997): 1618-1623.
9. See, for example, L.G. Kessler et al., "Psychiatric Diagnoses of Medical Service Users: Evidence from the Epidemiologic Catchment Area Program," American Journal of Public Health 77 (1987): 18-24; W.G. Manning and K.B. Wells, "The Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services," Medical Care 30, no. 6 (1992): 541-553; G.E. Simon et al., "Health Care Costs Associated with Depressive and Anxiety Disorders in Primary Care," American Journal of Psychiatry 152 (1995): 352-357; G.E. Simon, M. Von Korff, and W. Barlow, "Health Care Costs of Primary Care Patients with Recognized Depression," Archives of General Psychiatry 52 (1995): 850-856; C.M. Callahan et al, "Longitudinal Study of Depression and Health Services Use among Elderly Primary Care Patients," Journal of the American Geriatric Society 42 (1994): 833-838; and J. Unutzer et al., "Depressive Symptoms and the Cost of Health Services in HMO Patients Aged 65 Years and Older: A 4-Year Prospective Study," Journal of the American Medical Association 277, no. 20 (1997): 1618-1623.
10. See, for example, L.G. Kessler et al., "Psychiatric Diagnoses of Medical Service Users: Evidence from the Epidemiologic Catchment Area Program," American Journal of Public Health 77 (1987): 18-24; W.G. Manning and K.B. Wells, "The Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services," Medical Care 30, no. 6 (1992): 541-553; G.E. Simon et al., "Health Care Costs Associated with Depressive and Anxiety Disorders in Primary Care," American Journal of Psychiatry 152 (1995): 352-357; G.E. Simon, M. Von Korff, and W. Barlow, "Health Care Costs of Primary Care Patients with Recognized Depression," Archives of General Psychiatry 52 (1995): 850-856; C.M. Callahan et al, "Longitudinal Study of Depression and Health Services Use among Elderly Primary Care Patients," Journal of the American Geriatric Society 42 (1994): 833-838; and J. Unutzer et al., "Depressive Symptoms and the Cost of Health Services in HMO Patients Aged 65 Years and Older: A 4-Year Prospective Study," Journal of the American Medical Association 277, no. 20 (1997): 1618-1623.
11. See, for example, L.G. Kessler et al., "Psychiatric Diagnoses of Medical Service Users: Evidence from the Epidemiologic Catchment Area Program," American Journal of Public Health 77 (1987): 18-24; W.G. Manning and K.B. Wells, "The Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services," Medical Care 30, no. 6 (1992): 541-553; G.E. Simon et al., "Health Care Costs Associated with Depressive and Anxiety Disorders in Primary Care," American Journal of Psychiatry 152 (1995): 352-357; G.E. Simon, M. Von Korff, and W. Barlow, "Health Care Costs of Primary Care Patients with Recognized Depression," Archives of General Psychiatry 52 (1995): 850-856; C.M. Callahan et al, "Longitudinal Study of Depression and Health Services Use among Elderly Primary Care Patients," Journal of the American Geriatric Society 42 (1994): 833-838; and J. Unutzer et al., "Depressive Symptoms and the Cost of Health Services in HMO Patients Aged 65 Years and Older: A 4-Year Prospective Study," Journal of the American Medical Association 277, no. 20 (1997): 1618-1623.
12. See, for example, L.G. Kessler et al., "Psychiatric Diagnoses of Medical Service Users: Evidence from the Epidemiologic Catchment Area Program," American Journal of Public Health 77 (1987): 18-24; W.G. Manning and K.B. Wells, "The Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services," Medical Care 30, no. 6 (1992): 541-553; G.E. Simon et al., "Health Care Costs Associated with Depressive and Anxiety Disorders in Primary Care," American Journal of Psychiatry 152 (1995): 352-357; G.E. Simon, M. Von Korff, and W. Barlow, "Health Care Costs of Primary Care Patients with Recognized Depression," Archives of General Psychiatry 52 (1995): 850-856; C.M. Callahan et al, "Longitudinal Study of Depression and Health Services Use among Elderly Primary Care Patients," Journal of the American Geriatric Society 42 (1994): 833-838; and J. Unutzer et al., "Depressive Symptoms and the Cost of Health Services in HMO Patients Aged 65 Years and Older: A 4-Year Prospective Study," Journal of the American Medical Association 277, no. 20 (1997): 1618-1623.
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