Future funding for mental health and substance abuse: Increasing burdens for the public sector

Health Affairs

Volumn 27, Issue 6, 2008, Pages

  Levit, Katharine R ^a   Kassed, Cheryl A ^a   Coffey, Rosanna M ^a   Mark, Tami L ^a   Stranges, Elizabeth M ^b   Buck, Jeffrey A ^c   Vandivort Warren, Rita ^d  

^a THOMSON REUTERS   (United Kingdom)

^b Health Care Business of Thomson Reuters   (United States)

^c SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION   (United States)

^d Center for Substance Abuse Treatment

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; FINANCIAL MANAGEMENT; FUNDING; GOVERNMENT; HEALTH CARE COST; HEALTH INSURANCE; MEDICAID; MENTAL HEALTH; ORGANIZATION AND MANAGEMENT; PRESCRIPTION; SUBSTANCE ABUSE;

FINANCING, GOVERNMENT; MEDICAID; MENTAL HEALTH SERVICES; SUBSTANCE ABUSE TREATMENT CENTERS; UNITED STATES;

EID: 56649112766     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.27.6.w513     Document Type: Article

References (23)

1. Substance Abuse and Mental Health Services Administration, "Need and Receipt of Specialty Treatment," Sec. 7.3 in 2006 National Survey on Drug Use and Health: National Results, 5 May 2008, http://www.oas.samhsa. gov/nsduh/2k6nsduh/2k6Results.cfm (accessed 10 September 2008).
2. SAMHSA, "Adults Aged Eighteen or Older," Sec. 8.1 in 2006 National Survey on Drug Use and Health.
3. Centers for Disease Control and Prevention, "CDC Report Shows Largest One-Year Increase in Youth Suicide Rate in Fifteen Years," Press Release, 6 September 2007, http://www.cdc.gov/media/pressrel/2007/r070906.htm (accessed 10 September 2008).
4. T.L. Mark et al., National Expenditures for Mental Health Services and Substance Abuse Treatment, 1993-2003 (Rockville, Md.: SAMHSA, 2007).
5. R.C. Kessler et al., "Prevalence, Severity, and Comorbidity of Twelve-Month DSM-IV Disorders in the National Comorbidity Survey Replication," Archives of General Psychiatry 62, no. 6 (2005): 617-627.
6. For more information, see Centers for Medicare and Medicaid Services, "National Health Expenditure Data: Overview," 28 May 2008, http://www.cms.hhs.gov/NationalHealthExpendData/01_Overview.asp (accessed 10 September 2008).
7. Mark et al., National Expenditures.
8. Boards of Trustees, 2006 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disability Insurance Trust Funds, 1 May 2006, http://www.ssa.gov/OACT/TR/ TR06 (accessed 4 February 2008);
9. and K.R. Levit et al., Projections of National Expenditures for Mental Health Services and Substance Abuse Treatment, 2004-2014 (Rockville, Md.: SAMHSA, forthcoming).
10. J.A. Buck, "Medicaid, Health Care Financing Trends, and the Future of State-Based Public Mental Health Services," Psychiatric Services 54, no. 7 (2003): 969-975;
11. and J. Verdier, A. Barrett, and S. Davis, Administration of Mental Health Services by Medicaid Agencies (Rockville, Md.: SAMHSA, 2007).
12. Levit et al., Projections of National Expenditures.
13. Authors' analysis of prescription drug information by physician specialty from IMS; S.H. Zuvekas, "Prescription Drugs and the Changing Patterns of Treatment for Mental Disorders, 1996-2001," Health Affairs 24, no. 1 (2005): 195-205;
14. and Mark et al., National Expenditures.
15. J.A. Poisal et al., "Health Spending Projections through 2016: Modest Changes Obscure Part D's Impact," Health Affairs 26, no. 2 (2007): w242-w253 (published online 21 February 2007; 10.1377/hlthaff.26.2.w242) .
16. Ibid.; L. Simoni-Wastila et al., Projected Spending on Prescription Drugs Used to Treat Mental Health and Substance Abuse Disorders: Impact of Clinical and Economic Factors, project report submitted to SAMHSA on 6 April 2006 under Contract no. 270-01-7088 (Rockville, Md.: Substance Abuse and Mental Health Services Administration, 2006), 3-4;
17. and S. Keehan et al., "Health Spending Projections through 2017: The Baby-Boom Generation Is Coming To Medicare," Health Affairs 27, no. 2 (2008): w145-w155 (published online 26 February 2008; 10.1377/hlthaff.27.2. w145).
18. Poisal et al., "Health Spending Projections through 2016."
19. E. Salinsky and C. Loftis, Shrinking Inpatient Psychiatric Capacity: Cause for Celebration or Concern? Issue Brief no. 823 (Washington: George Washington University, National Health Policy Forum, 1 August 2007);
20. and P.G. Cotterill, "Medicare Psychiatric Admissions, 1987-2004: Does the Past Offer Insights for the Future?" Health Affairs 27, no. 4 (2008): 1132-1139.
21. D.A. Regier et al., "Comorbidity of Mental Disorders with Alcohol and Other Drug Abuse: Results from the Epidemiologic Catchment Area (ECA) Study," Journal of the American Medical Association 264, no. 19 (1990): 2511-2518.
22. J. Gabel et al., "Substance Abuse Benefits: Still Limited after All These Years," Health Affairs 26, no. 4 (2007): w474-w482 (published online 7 June 2007; 10.1377/hlthaff.26.4.w474).
23. Ibid.