Social Psychiatry and Psychiatric Epidemiology

, Volume 30, Issue 5, pp 236–239 | Cite as

The role of private insurance in financing treatment for depression

  • S. S. Sharfstein


The health care system in the United States is expensive but fails large groups of its citizens, particularly those with serious mental illness. This paper examines the resource implications of adequate treatment for depression. An analysis of the various tasks necessary for a proper treatment program is used to indicate places where the current mechanisms of provision fall short. Appropriate innovations in principles of funding are suggested.


Public Health Health Care Mental Illness Health Care System Treatment Program 
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  1. 1.
    Spending more and getting less (1990) Medical BenefitsGoogle Scholar
  2. 2.
    Blazer D, Kamlet M, Frank R et al (1986) The economic burden of depression. Hosp Psychiatry 8: 387–394Google Scholar
  3. 3.
    Regier DA, Myers JK, Kramer M et al (1984) The NIMH Epidemiologic Catchment Area Program. Arch Gen Psychiatry 41: 934–941Google Scholar
  4. 4.
    Broadhead WE, Blazer DG, George LK et al (1990) Depression, disability days, and days lost from work in a prospective epidemiologic survey. JAMA 264: 2524–2528Google Scholar
  5. 5.
    Barrett JE, Barrett JA, Oxman TE et al (1988) The prevalence of psychiatric disorders in a primary care practice. Arch Gen Psychiatry 450: 1100–1106Google Scholar
  6. 6.
    Frerichs RR, Aneshensel CS, Yokopenic PA et al (1982) Physical health and depression: an epidemiologic survey. Prev med 11: 639–646Google Scholar
  7. 7.
    Astrachan BM, Levinson DJ, Adler DA (1976) The impact of national health insurance on the tasks and practice of psychiatry. Arch Gen Psychiatry 33: 785–794Google Scholar
  8. 8.
    The coverage catalog, 2nd edn (1989) American Psychiatric Press, Washington, DCGoogle Scholar
  9. 9.
    Mechanic D (1978) Considerations in the design of mental health benefits under national health insurance. Am J Public Health 68: 482–488Google Scholar
  10. 10.
    Sharfstein SS (1991) Prospective cost allocations for the chronic schizophrenic patient. Schiezophr Bull 17 395–400Google Scholar
  11. 11.
    Sharfstein SS, Talbott JA (1986) A proposal for future funding of chronic and episodic mental illness. Hosp Community Psychiatry 37: 1126–1130Google Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • S. S. Sharfstein
    • 1
    • 2
  1. 1.The Sheppard and Enoch Pratt Health SystemBaltimoreUSA
  2. 2.University of MarylandUSA

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