Changes in mental health financing since 1971: Implications for policymakers and patients

Health Affairs

Volumn 25, Issue 3, 2006, Pages 601-613

  Frank, Richard G ^a   Glied, Sherry ^b  

^a HARVARD MEDICAL SCHOOL   (United States)

^b Howard Hughes Medical Institute   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ECONOMICS; FINANCIAL MANAGEMENT; HEALTH CARE POLICY; HEALTH INSURANCE; HOSPITALIZATION; HUMAN; MENTAL DISEASE; MENTAL HEALTH SERVICE; PRIMARY HEALTH CARE; REIMBURSEMENT; REVIEW; SOCIAL BEHAVIOR; SOCIAL WORK; UNITED STATES;

FINANCING, GOVERNMENT; HEALTH CARE REFORM; HOSPITALIZATION; HUMANS; INSURANCE, HEALTH, REIMBURSEMENT; INSURANCE, PSYCHIATRIC; MENTAL DISORDERS; MENTAL HEALTH SERVICES; PRIMARY HEALTH CARE; SOCIAL RESPONSIBILITY; SOCIAL WORK, PSYCHIATRIC; UNITED STATES;

EID: 33744757993     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.25.3.601     Document Type: Review

References (37)

1. R. Frank and S. Glied, Better but Not Well: Mental Health Policy in the United States since 1950 (Baltimore, Md.: Johns Hopkins University Press, forthcoming).
2. Substance Abuse and Mental Health Services Administration, National Estimates of Expenditures for Mental Health and Substance Abuse Treatment, 1991-2001, Pub. no. SMA 05-3999 (Rockville, Md.: SAMHSA, 2005).
3. T.L. Mark et al., "U.S. Spending for Mental Health and Substance Abuse Treatment, 1991-2001," Health Affairs 24 (2005): w133-w142 (published online 29 March 2005; 10.1377/hlthaff.w5.133).
4. U.S. Department of Health and Human Services, The Cost of Mental Illness - 1971, Pub. no. 76-265 (Washington: U.S. Government Printing Office, 1975).
5. See Appendix 1, available online at http://content.healthaffairs.org/cgi/ content/full/25/3/601/DC1.
6. DHHS, The Cost of Mental Illness - 1971.
7. Bureau of Economic Analysis, "Interactive Access to National Income and Product Accounts Tables," January 2006, http://www.bea.gov/bea/dn/ nipaweb/index.asp (accessed 27 January 2006).
8. J.E. Triplett, "What's Different about Health? Human Repair and Car Repair in National Accounts and National Health Accounts," in Medical Care Output and Productivity, ed. D.M. Cutler and E.R. Berndt (Chicago: University of Chicago Press, 2001), 15-94.
9. Frank and Glied, Better but Not Well.
10. S.H. Zuvekas, "Trends in Mental Health Services Use and Spending, 1987-1996," Health Affairs 20, no. 2 (2001): 214-224.
11. D.M. Cutler and M. McClellan, "Is Technological Change in Medicine Worth It?" Health Affairs 20, no. 5 (2001): 11-29.
12. See Appendix 2, online at http://content.healthaffairs.org/cgi/content/ full/25/3/601/DC1.
13. Ibid.
14. Social Security Administration, Annual Statistical Supplement, 2000, Table 7.F1, December 2000, http://www.ssa.gov/policy/docs/statcomps/supplement/ 2000/7f.pdf (accessed 26 January 2006);
15. and Annual Statistical Report on the Social Security Disability Insurance Program, 2003, Table 21, August 2004, http://www.ssa.gov/policy/docs/statcomps/ di_asr/2003/sect01c.pdf (accessed 26 January 2006).
16. R.G. Frank and J.R. Lave, "Economics," in Managed Behavioral Health Services, ed. S. Feldman (Springfield, Ill.: Charles C. Thomas Publisher, 2003), 146-165.
17. R.M. Scheffler and P.B. Kirby, "The Occupational Transformation of the Mental Health System," Health Affairs 22, no. 5 (2003): 177-188.
18. Frank and Glied, Better but Not Well.
19. R.M. Scheffler, S.L. Ivey, and A.B. Garrett, "Changing Supply and Earning Patterns of the Mental Health Workforce," Administration and Policy in Mental Health 26, no. 2 (1998): 85-99.
20. E.R. Berndt et al., "Real Output in Mental Health Care during the 1990s," NBER Working Paper no. 11557 (Cambridge, Mass.: National Bureau of Economic Research, 2005).
21. E.R. Berndt et al., "The Medical Treatment of Depression, 1991-1996: Productive Inefficiency, Expected Outcome Variations, and Price Indexes," Journal of Health Economics 21, no. 3 (2002): 373-396.
22. Berndt et al., "Real Output in Mental Health Care."
23. SAMHSA, Mental Health, United States, 2002, Pub. no. SMA 3938 (Rockville, Md.: SAMHSA, 2004), Chap. 18, Table 2.
24. SSA, Annual Statistical Supplement, 2001, Table 5.D1, December 2001, http://www.ssa.gov/policy/docs/statcomps/supplement/2001/5d.pdf (accessed 26 January 2006).
25. Annual Statistical Supplement, 2001, 2001, Ibid., Table 7.F1, http://www.ssa.gov/policy/docs/statcomps/supplement/2001/7f.pdf (accessed 26 January 2006).
26. See R.G. Frank and T.G. McGuire, "Economics and Mental Health," in The Handbook of Health Economics, ed. A.J. Culyer and J.P. Newhouse (Amsterdam: North Holland, 2000), 893-954.
27. U.S. Census Bureau, Income, Poverty, and Health Insurance Coverage in the United States: 2004, Pub. no. P60-229 (Washington: U.S. GPO, 2005), Table C-1.
28. Tabulations from the Medical Expenditure Panel Survey (MEPS), 1996 and 2002.
29. J.R. Lave, "Developing a Medicare Prospective Payment System for Inpatient Psychiatric Care," Health Affairs 22, no. 5 (2003): 97-109.
30. S.M. Foote and C. Hogan, "Disability Profile and Health Care Costs of Medicare Beneficiaries under Age Sixty-five," Health Affairs 20, no. 6 (2001): 242-253.
31. L.D. Brown and M.S. Sparer, "Poor Program's Progress: The Unanticipated Politics of Medicaid Policy," Health Affairs 22, no. 1 (2003): 31-44.
32. See R.G. Frank, H.H. Goldman, and M. Hogan, "Medicaid and Mental Health: Be Careful What You Ask For," Health Affairs 22, no. 1 (2003): 101-113.
33. Brown and Sparer, "Poor Program's Progress."
34. This estimate was made by applying the average annual growth rate in mental health spending for 1996-2001 to the 2001 estimates to obtain an estimate for 2002.
35. For example, the $15 billion reported in Exhibit 5 for 1997 represents 89.3 percent of SMHA spending.
36. SAMHSA, National Estimates; and Ted Lutterman, director of data analysis, National Association of State Mental Health Program Directors (NASMHPD) Research Institute, personal communication, October 2005.
37. SAMHSA, National Estimates.