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The economics of mental health services through 1986: Empirical studies

  • Carl A. Taube
Article

Abstract

In the last ten years health economists have turned their attention to the field of mental health services delivery. In particular, the responsiveness of the demand for ambulatory mental health care relative to the price, the economic costs of mental disorder, and the effects of prospective payment systems have received major attention. This article reviews these studies and suggests areas for future development.

Keywords

Public Health Health Care Mental Health Health Service Mental Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Alexander, R.J., & Sheely, M.D. (1971). Cost per hour for delivery of services in a community mental health center.Diseases of the Nervous System, 32, 769–776.Google Scholar
  2. Andrews, G., Hall, W., Goldstein, G., Lapsley, H., Bartels, K., & Silove, D. (1985). The economic costs of schizophrenia: Implications for public policy.Archives of General Psychiatry, 42, 537–543.Google Scholar
  3. American Psychological Association.Source Book on Psychology and National Health Insurance. Washington, DC: Author.Google Scholar
  4. Avnet, H.H. (1962).Psychiatric insurance. New York: New York Group Health Insurance.Google Scholar
  5. Bartel, A., & Taubman, P. (1979). Health and labor market success: The role of various diseases.Review of Economics and Statistics, 1–8.Google Scholar
  6. Bartel, A. & Taubman, P. (1986). Some economic and demographic consequences of mental illness.Journal of Labor Economics, 4, 243–256.Google Scholar
  7. Bassuk, E.L., & Holland, S.K. (1987). Accounting for high cost of psychiatric care.Business and Health, 7.Google Scholar
  8. Beiser, M., Shore, J.H., Peters R., & Tatum, E. (1985). Does community care for the mentally ill make a difference?American Journal of Psychiatry, 142, 1047–1052.Google Scholar
  9. Benham, L., & Benham, A. (1981). Employment, earnings, and psychiatric diagnosis. In V. Fuchs (Ed.),Economic aspects of health. Chicago, IL: University of Chicago Press.Google Scholar
  10. Bond, G.R. (1984). An economic analysis of psychosocial rehabilitation.Hospital and Community Psychiatry, 35, 356–362.Google Scholar
  11. Borus, J.F., Olendzki, M.C., Kessler, L., Burns, B.J. Brandt, U.C., Broverman, C.A., & Henderson, P.R. (1985). The “offset effect” of mental health treatment on ambulatory medical care utilization and charges: Moth-by-month and grouped month analyses of a five-year study.Archives of General Psychiatry, 42, 573–580.Google Scholar
  12. Brady, J., & Krizay, J. (1985). Utilization and coverage of mental health services in health maintenance organizations.American Journal of Psychiatry, 142, 744–746.Google Scholar
  13. Brenner, M.H. (1973).Mental illness and the economy. Cambridge, MA: Harvard University Press.Google Scholar
  14. Cannon, N., McGuire, T.G., & Dickey, B. (1985). Capital costs in economic program evaluation: The case of mental health services. In J.S. Caterall (Ed.),Economic evaluation of public programs. San Francisco, CA: Jossey-Bass Publishers.Google Scholar
  15. Cassell, W.A., Smith, C.M., Grunberg, F., Boan, J.A., & Thomas, R.F. (1972). Comparing costs of hospital and community care.Hospital and Community Psychiatry, 23, 17–20.Google Scholar
  16. Cohen, J., & Hunter, H. (1972). Mental health insurance: A comparison of a fee-for-service indemnity plan and a comprehensive mental health center.American Journal of Orthopsychiatry, 42, 146–153.Google Scholar
  17. Conley, R.W., Conwell, M., & Arrill, M.B. (1967). An approach to measuring the cost of mental illness.American Journal of Psychiatry, 124, 755–762.Google Scholar
  18. Cruze, A.M., Harwood, H., Kristiansen, P., Collins, J., & Jones, D. (1981).Economic costs of alcohol and drug abuse and mental illness 1977 (ADAMHA Contract, Report No. ADM 283-79-001). Triangle Park, NC: Research Triangle Institute.Google Scholar
  19. Craig, T.J., & Patterson, D.Y. (1981). A comparison of mental health costs and utilization under three insurance plants.Medical Care, 19, 184–192.Google Scholar
  20. Craig, T.J., & Patterson, D.Y. (1981). A unique approach to mental health services in an HMO: Indemnity benefit and service program.Medical Care, 19, 193–201.Google Scholar
  21. Crowell, E. (1971). Redistributive aspects of psychotherapy's inclusion in national health insurance.American Psychology, 32, 731–737.Google Scholar
  22. Cummings, N.A., & Follette, W.T. (1968). Psychiatric services and medical utilization in a prepaid health care setting: Part II.Medical Care, 6, 31–41.Google Scholar
  23. Dickey, B., Cannon, N.L., & McGuire, T. (1986). Mental health cost studies: Some observations on methodology.Administration in Mental Health, 13, 189–201.Google Scholar
  24. Dickey, B., Cannon, N.L., McGuire, T., & Gudeman, J. (1986). Mental health cost models: Refinements and applications.Medical Care, 24, 857–867.Google Scholar
  25. Diehr, P., Williams, S.J., Martin, D.P., & Price, K. (1984). Ambulatory mental health services utilization in three provider plants.Medical Care, 22, 1–13.Google Scholar
  26. Dorken, H. (1977). CHAMPUS ten-state claim experience for mental disorder.American Psychologist, 32, 750–751.Google Scholar
  27. Dorris, W., & McGuire, T.G. (1980). Community mental health centers and competition in mental health services. In Altman & Sapolsky (Eds.),Federal health programs: Improving the health care systems. New York: Lexington Books.Google Scholar
  28. Dorwart, R.A., Schlesinger, M., & Pulice, R.T. (1986). The promise and pitfalls of purchase-of-service contracts.Hospital and Community Psychiatry, 37, 875–882.Google Scholar
  29. Ellis, R.P., & McGuire, T.G. (1986). Provider behavior under prospective reimbursement: Cost sharing and supply.Journal of Economics, Fall.Google Scholar
  30. English, J.T., Sharfstein, S.S., Scherl, D.J., Astrachan, B., & Muszynski, I.L. (1986). Diagnosis-related groups and general hospital psychiatry: The APA study.American Journal of Psychiatry, 143, 131–139.Google Scholar
  31. Fein, R. (1959).Economics of mental illness. New York: Basic Books.Google Scholar
  32. Feldman, S. (1986). Mental health in health maintenance organizations: A report.Administration in Mental Health, 13, 165–179.Google Scholar
  33. Fink, R.S., Goldensohn, S.S., Shapiro, S., & Daily, E.F. (1969). Changes in family doctors' services for emotional disorders after addition of psychiatric treatment to prepaid practice program.Medical Care 7, 209–224.Google Scholar
  34. Follette, W., & Cummings, N.A. (1967). Psychiatric services and medical utilization in prepaid health plan setting.Medical Care, 5, 25–35.Google Scholar
  35. Frank, R.G. (1981). Cost-benefit analysis in mental health services: A review of the literature.Administration in Mental Health, 8, 161–175.Google Scholar
  36. Frank, R.G. (1982). “Freedom of choice” laws: Empirical evidence of their contribution to competition in mental health care delivery.Health Policy Quarterly, 2, (2).Google Scholar
  37. Frank, R.G. (1985). Pricing and location of physicians services in mental health.Economic Inquiry, 23, 115–133.Google Scholar
  38. Frank, R.G. (1985). A model of state expenditures on mental health services.Public Finance Quarterly, 13.Google Scholar
  39. Frank, R.G., Herring, J. (1983). Public provision of mental hospital services: Some economic issues.Administration in Mental Health, 10, 288–305.Google Scholar
  40. Frank, R.G., & Kamlet, M.S. (1985). Direct costs and expenditures for mental health care in the United States in 1980.Hospital and Community Psychiatry, 36, 165–168.Google Scholar
  41. Frank, R.G., & Kamlet, M.S. (1986). Quality, quantity, and total expenditures on publicly provided goods: The case of mental hospitals.Journal of Public Economics, Summer.Google Scholar
  42. Frank, R.G., & Kessler, L.G. (1984). State Medicaid limitations for mental health services.Hospital and Community Psychiatry, 35, 213–215.Google Scholar
  43. Frank, R.G., & Lave, J.R. (1985). The psychiatric DRGs. Are they different?Medical Care, 23, 1148–1155.Google Scholar
  44. Frank, R.G., & Lave, J.R. (1985). A plan for prospective payment for inpatient psychiatric care.Hospital and Community Psychiatry, 36, 775–776.Google Scholar
  45. Frank, R.G., & Lave, J.R. (1985). The impact of Medicaid benefit design on length of hospital stay and patient transfers.Hospital and Community Psychiatry, 36, 749–753.Google Scholar
  46. Frank, R.G., & Lave, J.R. (1986). Per case prospective payment for psychiatric inpatients: An assessment and an alternative.Journal of Health Politics, Policy, and Law, 11, 83–96.Google Scholar
  47. Frank, R.G., & Lave, J.R. (1986). The effect of benefit design on the length of stay of Medicaid psychiatric patients.Journal of Human Resources, 21, 321–337.Google Scholar
  48. Frank, R.G., McGuire, T.G. (1986). A review of studies of the impact of insurance on the demand and utilization of specialty mental health services.Health Services Research, 21, 241–265.Google Scholar
  49. Frank, R.G., & Welch, W.P. (1982). Contracting state mental hospital systems.Journal of Health Politics, Policy, and Law, 6, Winter.Google Scholar
  50. Frisman, L.K., McGuire, T.K., & Rosenbach, M.L. (1985). Costs of mandates for outpatient mental health care in private health insurance.Archives of General Psychiatry, 42, 558–561.Google Scholar
  51. Fullerton, D.T., Lohrenz, F.N., & Nyca, G.R. (1976). Utilization of prepaid services by patients with psychiatric diagnoses.American Journal of Psychiatry, 133, 1057–1060.Google Scholar
  52. Glasser, M.A., & Duggan, T. (1969). Prepaid psychiatric care experience with UAW members.American Journal of Psychiatry, 126, 675–681.Google Scholar
  53. Glasser, M.A., Duggan, T.J., & William, S. (1975). Obstacles of utilization of prepaid mental health care.American Journal of Psychiatry, 132, 710–715.Google Scholar
  54. Goldberg, I.D., Allen, G., Kessler, L., Carey, J.F., Locke, B.Z., & Cook, W.A. (1981). Utilization of medical services after short-term psychiatric therapy in a prepaid health plan setting.Medical Care, 19, 672–686.Google Scholar
  55. Goldberg, I.D., Krantz, G., & Locke, B.Z. (1970). Effect of a short-term outpatient psychiatric therapy benefit on the utilization of medical services in a prepaid group practice medical program.Medical Care, 8, 419–428.Google Scholar
  56. Goldensohn, S.S. (1971). A prepaid group practice mental health service as part of a health maintenance organization.American Journal of Orthopsychiatry, 42, 154–158.Google Scholar
  57. Goldensohn, S.S. (1977). Cost, utilization review of mental health services in a prepaid group practice plan.American Journal of Psychiatry, 134, 1222–1226.Google Scholar
  58. Goldensohn, S.S., & Fink, R. (1979). Mental health services for Medicaid enrollees in a prepaid group practice plan.American Journal of Psychiatry, 136, 160–164.Google Scholar
  59. Goldensohn, S.S., Fink, R., & Shapiro, S. (1969). Referral, utilization and staffing patterns of a mental health service in a prepaid group practice program in New York.American Journal of Psychiatry, 126, 689–697.Google Scholar
  60. Goldensohn, S.S., Fink, R., & Shapiro, S. (1971). The delivery of mental health services to children in a prepaid medical care program.American Journal of Psychiatry, 127, 1357–1362.Google Scholar
  61. Goldman, H.H., Scheffler, R.M., & Cheadle, A. (1988). Demand for psychiatric services: The need for episode analysis. In R.M. Scheffler & L.F. Rossiter (Eds.),Advances in health economics and health services research. Greenwich, CT: JAI Press.Google Scholar
  62. Gudeman, J.E., Shore, M.F., & Dickey, B. (1983). Day hospitalization instead of inpatient care for psychiatric patients.New England Journal of Medicine, 308, 749–753.Google Scholar
  63. Guillette, W., Crowley, B., Savitz, S.A., & Goldberg, F.G. (1978). Day hospitalization as a cost-effective alternative to inpatient care: A pilot study.National Association of Private Psychiatric Hospitals Journal, 29, 525–527.Google Scholar
  64. Gunderson, J.G., & Mosher, L.R. (1975). The cost of schizophrenia.American Journal of Psychiatry, 132, 901–906.Google Scholar
  65. Hall, C.P. (1974). Financing mental health services through insurance.American Journal of Psychiatry, 131, 1079–1088.Google Scholar
  66. Hall, W., Goldstein, G., Andrews, G., Lapsley, H., Bartels, R. & Silove, D. (1985). Estimating the economic costs of schizophrenia.Schizophrenia Bulletin, 11, 598–611.Google Scholar
  67. Hankin, J.R., Kessler, L.G., Goldberg, I.D., Steinwachs, D.M., & Starfield, B.H. (1983). A longitudinal study of offset in use of nonpsychiatric services following specialized mental health care.Medical Care, 21, 1099–1110.Google Scholar
  68. Hankin, J.R., Steinwachs, D.M., & Charmian, E. (1980). The impact on utilization of a copayment increase for ambulatory psychiatric care.Medical Care, 18, 807–815.Google Scholar
  69. Horgan, C.M. (1985). Specialty and general ambulatory mental health services: Comparison of utilization and expenditures.Archives of General Psychiatry, 42, 565–572.Google Scholar
  70. Horgan, C.M. (1986). The demand for ambulatory mental health services from specialty providers.Health Services Research, 21, 291–319.Google Scholar
  71. Hornstra, R.K., & Udell, B. (1973). Use of psychiatric services and insurance coverage.Hospital and Community Psychiatry, 24, 90–93.Google Scholar
  72. Hustead, E.C., & Sharfstein, S.S. (1978). Utilization and cost of mental illness coverage in the Federal Employees Health Benefits Program 1973.American Journal of Psychiatry, 135, 315–319.Google Scholar
  73. Hustead, E.C., Sharfstein, S., Muszynski, S., Brady, J., & Cahill, J. (1985). Reductions in coverage for mental and nervous illness in the Federal Employees Health Benefits Program, 1980–1984.American Journal of Psychiatry, 142, 181–186.Google Scholar
  74. Jameson, F., Shuman, L.J., & Young, W.W. (1978). The effects of outpatient psychiatric utilization on the costs of providing third party coverage.Medical Care, 16, 383–399.Google Scholar
  75. Jones, K.R., & Vischi, T.R. (1979). Impact of alcohol, drug abuse, and mental health treatment on medical care utilization: A review of the research literature.Medical Care,17, Dec Suppl.Google Scholar
  76. Keeler, E.B., Wells, K.B., Manning, W.G., Rumpel, J.D., & Hanley, J.M. (1986).The demand for episodes of mental health services (R-3432-NIMH). Santa Monica, CA: Rand Corporation.Google Scholar
  77. Kessler, L.G., Steinwachs, D.M., & Hankin, J.R. (1980). Episodes of psychiatric utilization.Medical Care, 18, 1219–1227.Google Scholar
  78. Knesper, D.I., Pagnucco, D.J., & Wheeler, J.R. (1985). Similarities and differences across mental health services providers and practice: Settings in the U.S..American Psychologist, 40, 1352–1369.Google Scholar
  79. Koran, L.M. (1976). Mental health services in the public and private sectors.American Journal of Psychiatry, 133, 1052–1059.Google Scholar
  80. Koran, L.M., Meinhardt, K. (1981). Mental health expenditures in California counties.American Journal of Psychiatry, 138, 936–940.Google Scholar
  81. Lambert, D., & McGuire, T. (1987). The political economy of mandates and FOCs. Unpublished manuscript.Google Scholar
  82. Levenson, A.I. (1982). The growth of investor-owned psychiatric hospitals.American Journal of Psychiatry, 139, 902–907.Google Scholar
  83. Levin, B.L., & Glasser, J.H. (1979). A survey of mental health service coverage with health maintenance organizations.American Journal of Public Health, 69, 1120–1125.Google Scholar
  84. Levin, B.L., & Glasser, J.H. (1980). Mental health coverage within prepaid health plans.Administration in Mental Health, 7, 271–281.Google Scholar
  85. Levin, B. L., & Glasser, J. H. (1984). Changing patterns in mental health service coverage within health maintenance organizations.American Journal of Public Health, 74, 453–458.Google Scholar
  86. Levin, D.S., & Levin, D.R. (1975).The cost of mental illness 1971 (DHEW Publication No. ADM 76-265). Washington, DC: U.S. Government Printing Office.Google Scholar
  87. Levitan, S.J., & Kornfield, D.S. (1981). Clinical cost benefits of liaison psychiatry.American Journal of Public Health, 138, 790–793.Google Scholar
  88. Linn, M.W., Gurel, L., Williford, W.O., Overall, J., Gurland, B., Laughlin, P., & Barchiesi, A.: Nursing home care as an alternative to psychiatric hospitalization: A Veterans Administration cooperative study.Archives of General Psychiatry,42, 544-551.Google Scholar
  89. Liptzin, B., Regier, D.A., & Goldberg, I.D. (1980). Utilization of health and mental health in a large insured population.American Journal of Psychiatry, 137, 553–558.Google Scholar
  90. Locke, B.Z., Krantz, G., & Kramer, M. (1966). Psychiatric need and demand in a prepaid group practice program.American Journal of Public Health, 56, 895.Google Scholar
  91. Manning, W.G., Jr., & Wells, K.B. (1986). Preliminary results of a controlled trial of the effect of a prepaid group practice on the outpatient use of mental health services.Journal of Human Resources, 21, 293–320.Google Scholar
  92. Manning, W.G., Jr., Wells, K.B., Duan, N., Newhouse, J.P., & Ware, J.E., Jr. (1984). The effects of cost sharing on the demand of ambulatory mental health services.American Psychologist, 39, 1077–1089.Google Scholar
  93. Manning, W.G., Jr., Wells, K.B., Duan, N., Newhouse, J.P., Ware, J.E., Jr. (1986). How cost sharing affects the use of ambulatory mental health services.Journal of the American Medical Association, 256, 1930–1934.Google Scholar
  94. May, P.R. (1970). Cost efficiency of mental health delivery systems, Part I. A review of the literature on hospital care.American Journal of Public Health, 60, 2060–2067.Google Scholar
  95. May, P.R. (1970). Cost-effectiveness of mental health care, Part II. Sex as a parameter of cost in the treatment of schizophrenia.American Journal of Public Health, 60, 2269–2272.Google Scholar
  96. May, P.R. (1971). Cost effectiveness of mental health care, Part III. Treatment method as a parameter of cost in the treatment of schizophrenia.American Journal of Public health, 61, 127–129.Google Scholar
  97. May, P.R. (1971). Cost efficiency of treatments for the schizophrenic patient.American Journal of Psychiatry, 127, 1382–1385.Google Scholar
  98. McCaffree, K. (1966). The cost of mental health care under changing treatment methods.American Journal of Public Health, 56, 1013–1025.Google Scholar
  99. McCaffree, K. (1968). The economic barriers to the development of community mental health programs.Medical Care, 4, 286–299.Google Scholar
  100. McCall, N., & Rice, T. (1983). A summary of the Colorado clinical psychology expanded mental health benefits experiment.American Psychologist, 38, 1279–1291.Google Scholar
  101. McGuire, T.G. (1980). Markets for psychotherapy. In G. Vandenbos (Ed.),Psychotherapy: From theory to research to policy. Beverly Hills, CA: Sage Publishing.Google Scholar
  102. McGuire, T.G. (1981). Financing and demand for mental health services.Journal of Human Resources, 16, 501–522.Google Scholar
  103. McGuire, T.G. (1981). National Health insurance for private psychiatric care: A study in the distribution of income.Public Finance Quarterly, 9, 183–196.Google Scholar
  104. McGuire, T.G. (1981).Financing psychotherapy: Costs, effects, and public policy. Cambridge, MA: Ballinger.Google Scholar
  105. McGuire, T.G. (1984). Economic assessment of treatment programs for the chronically mentally ill. In Cronholm & VonKnorring (Eds.),Evaluation of mental health services programs (pp. 148–160). Swedish Medical Research Council.Google Scholar
  106. McGuire, T.G. (1985). Economics of mental health. In Cavenar (Ed.),Psychiatry (Vol. 3). Philadelphia, PA: Lippincott & Co.Google Scholar
  107. McGuire, T.G.Financing and reimbursement for mental health services. (In press). Bethesda, MD: National Institute of Mental Health.Google Scholar
  108. McGuire, T.G., Gurin, A., Frisman, L.K., Kane, V.L., & Shatkin, B.F. (1984). Vendorship and social work in Massachusetts.Social Service Review, 9, 373–383.Google Scholar
  109. McGuire, T.G., Montgomery, J.T. (1982). Mandated mental health benefits in private health insurance policies.Journal of Health Politics, Policy, and Law, 7, 380–399.Google Scholar
  110. McGuire, T.G., & Moore, S.F. (1983). Private regulation in mental health: The JCAH and psychologists in hospitals.Journal of Law and Human Behavior, 7, 235–249.Google Scholar
  111. McGuire, T.G., & Scheffler, R.M. (1988).Advances in health care economics. Greenwich, CN: JAI Press.Google Scholar
  112. McGuire, T.G., & Weisbrod, B. (1981).Economics and mental health (DHHS Publication No. ADM 81-114). Washington, DC: U.S. Government Printing Office.Google Scholar
  113. Meier, G. (1981). HMO experiences with mental health services to the long-term emotionally disabled.Inquiry, 18, 125–138.Google Scholar
  114. Mitchell, J.B. (1986). Medicaid participation by psychiatrists in private practice.American Journal of Psychiatry, 139, 1131–1135.Google Scholar
  115. Moltzen, S., Gurevitz, H., Rappaport, M., & Goldman, H.H. (1986). The psychiatric health facility: An alternative for acute inpatient treatment in a non-hospital setting.Hospital and Community Psychiatry, 37, 1131–1135.Google Scholar
  116. Muller, C.F., & Caton, C.L. (1983). Economic costs of schizophrenia: A postdischarge study.Medical Care, 21, 92–104.Google Scholar
  117. Mumford, E., Schlesinger, H.J., Glass, G.V., Patrick C., & Cuerdon, T. (1984). A new look at evidence about reduced cost of medical utilization following mental health treatment.Journal of Psychiatry, 141, 1145–1158.Google Scholar
  118. Murphy, J.G., & Datel, W.E. (1976). A cost-benefit analysis of community versus institutional living.Hospital and Community Psychiatry, 27, 165–170.Google Scholar
  119. Reed, L.S. (1974). Utilization of care for mental disorders under the Blue Cross and Blue Shield plan for federal employces.American Journal of Psychiatry, 131, 964–975.Google Scholar
  120. Reed, L.S., Myers, E.S., & Scheidemandel, P.L. (1972).Health insurance and psychiatric care: Utilization and cost. Washington, DC: American Psychiatric Association.Google Scholar
  121. Reifman, A., Wyatt, R.J. (1980). Lithium: A break in the rising cost of mental illness.Archives of General Psychiatry, 37, April.Google Scholar
  122. Rubin, J. (1978).Economics, mental health and the law. Lexington, MA: D.C. Heath and Co.Google Scholar
  123. Rubin, J. (1982). Cost measurement and cost data in mental health settings.Hospital and Community Psychiatry, 33, 750–761.Google Scholar
  124. Rubin, J. (1983). Benefit-cost analysis and the care of the chronic psychiatric patient in the community. In I. Barofsky & R. Budson (Eds.),The chronic psychiatric patient in the community: Principles of treatment (pp. 457–474). New York: SP Medical and Scientific Books.Google Scholar
  125. Rupp, A., Steinwachs, D.M., & Salkever, D.S. (1985). Hospital payment effects on acute inpatient care for mental disorders.Archives of General Psychiatry, 42, 552–555.Google Scholar
  126. Scheffler, R.M., & Watts, C.A. (1986). Determinants of inpatient mental health use in a heavily insured population.Journal of Human Resources, 21, 338–358.Google Scholar
  127. Schlesinger, H.J., Mumford, E., Glass, G.V., Patrick C., & Sharfstein, S. (1983). Mental health treatment and medical care utilization in a fee-for-service system: Outpatient mental health treatment following onset of a chronic disease.American Journal of Public Health, 73, 422–429.Google Scholar
  128. Schlesinger, M., & Dorwart, R.A. (1984). Ownership and mental health services: A reappraisal of the shift toward privately owned facilities.New England Journal of Medicine, 311, 959–965.Google Scholar
  129. Schlesinger, M., Dorwart, R.A., & Pulice, R.T. (1986). Competitive bidding and states' purchase of services: The case of mental health care in Massachusetts.Journal of Policy Analysis and Management,5(2).Google Scholar
  130. Schulz, R.I., Greenley, J.R., & Peterson, R.W. (1984). Differences in the direct costs of public and private acute inpatient psychiatric services.Inquiry, 21, 380–393.Google Scholar
  131. Schumacher, D.N., Namerow, M.J., Parker, B., Fox, P., & Kofie, V. (1986). Prospective payment for psychiatry: Feasibility and impact.New England Journal of Medicine, 315, 1331–1336.Google Scholar
  132. Sharfstein, S.S., Eist, H., Sack, L., Kaiser, I.H., & Shadoan, R.A. (1984). The impact of third-party payment cutbacks on the private practice of psychiatry: Three surveys.Hospital and Community Psychiatry, 35, 478–481.Google Scholar
  133. Sharfstein, S.S., & Nafziger, J.C. (1976). Community care: Costs and benefits for a chronic patient.Hospital and Community Psychiatry, 27, 170–173.Google Scholar
  134. Sharfstein, S.S., Taube, C.A., & Goldberg, I. (1977). Problems in analyzing the comparative costs of private versus public psychiatric care.American Journal of Psychiatry, 134, 29–32.Google Scholar
  135. Schurman, R., Kramer, P.D., & Mitchell, J.B. (1985). The hidden mental health network.Archives of General Psychiatry, 42, 89–94.Google Scholar
  136. Sorenson, J.E., Hanbery, G.B., & Kucic, A.R. (1983).Accounting and budgeting systems for mental health organizations (DHHS Publication No. ADM 83-1046). Washington, DC: U.S. Government Printing Office.Google Scholar
  137. Spiro, H.R., Crocetti, G., & Siassi, I. (1975). Fee-for-service insurance versus cost financing.American Journal of Public Health, 65, 139–143.Google Scholar
  138. Spiro, H.R., Siassi, I., Crocetti, G., Ward, R., & Hanson, E. (1975). Cost-financed mental health facility, I: Clinical care pattern in a labor union program.Journal of Nervous Mental Disorders, 160, 231–240.Google Scholar
  139. Spiro, H.R., Siassi, I., & Crocetti, G. (1975). Cost-financed mental health facility, III: Economic issues and implications for future patterns of health care.Journal of Nervous Mental Disorders, 160, 249–254.Google Scholar
  140. Stein, L.I., & Test, M.A. (1980). Alternative to mental hospital treatment.Archives of General Psychiatry, 37, 392–397.Google Scholar
  141. Taube, C.A., Bodison, D., & Souder, B.A. (1987).Economics and mental health care: A bibliography 1953–1986. Rockville, MD: National Institute of Mental Health.Google Scholar
  142. Taube, C.A., Kessler, L., & Burns, B.J. (1986). Estimating the probability and level of ambulatory mental health services use.Health Services Research, 21, 321–340.Google Scholar
  143. Taube, C.A., Lee, E.S., & Forthofer, R.N. (1984). DRGs in psychiatry: An empirical evaluation.Medical Care, 22, 597–610.Google Scholar
  144. Taube, C.A., & Rupp, A. (1986). The effect of Medicaid on access to ambulatory mental health care for the poor and near-poor under 65.Medical Care, 24, 677–686.Google Scholar
  145. Taube, C.A., Thompson, J.W., Burns, B.J., Widem, P., & Prevost, C. (1985). Prospective payment and psychiatric discharges from general hospitals with and without psychiatric units.Hospital and Community Psychiatry, 36, 754–760.Google Scholar
  146. Test, M.A., & Stein, L.I. (1980). An alternative to mental hospital treatment, III: Social cost.Archives of General Psychiatry, 37, 409–412.Google Scholar
  147. Towery, O.B., Sharfstein, S.S., & Goldberg, I.D. (1980). The mental and nervous disorder utilization and cost survey: An analysis of insurance for mental disorders.American Journal of Psychiatry, 137, 1065–1070.Google Scholar
  148. Wallen, J., Roddy, P., & Meyers, S.M. (1986). Male-female differences in mental health visit under cost-sharing.Health Services Research, 21, 341–352.Google Scholar
  149. Ware, J.E., Jr., Manning, W.G., Jr., Duan, N., Wells, K.B., & Newhouse, J.P. (1984). Health status and the use of outpatient mental health services.American psychologist, 39, 1090–1101.Google Scholar
  150. Watts, C.A., Scheffler, R.M., & Jewell, N.P. (1986). Demand for outpatient mental health services in a heavily insured population: The case of the Blue Cross-Blue Shield Association's Federal Employees Health Benefits Program.Health Services Research, 21, 267–289.Google Scholar
  151. Weisbrod, B.A. (1981). Benefit-cost analysis of a controlled experiment: Treating the mentally ill.Journal of Human Resources, 16, 523–548.Google Scholar
  152. Weisbrod, B.A. (1983). A guide to benefit-cost analysis as seen through a controlled experiment in treating the mentally ill.Journal of Health Politics, Policy, and Law, 8, 808–845.Google Scholar
  153. Weisbrod, B.A., Test, M.A., & Stein, L.L. (1980). Alternative to mental hospital treatment. II: Economic benefit-cost analysis.Archives of General Psychiatry, 37, 400–405.Google Scholar
  154. Wells, K.B., Manning, W.G., Duan, N. (1982).Cost sharing and the demand for ambulatory mental health services (R-2960-HHS). Santa Monica, CA: Rand Corp.Google Scholar
  155. Williams, S.H., Diehr, P., Drucker, W.L., & Richardson, W.C. (1979). Mental health services: Utilization by low income enrollees in a prepaid group practice plan and in an independent practice plan.Medical Care, 17, 139–151.Google Scholar
  156. Zelman, W.N., Stone, A.V.W., & Davenport, B.A. (1982). Factors contributing to antifactual differences in reported mental health costs.Administration in Mental Health, 10, 40–52.Google Scholar

Copyright information

© Human Sciences Press 1989

Authors and Affiliations

  • Carl A. Taube
    • 1
  1. 1.Department of Mental HygieneThe Johns Hopkins University School of Hygiene and Public HealthBaltimore

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