The Unnoticed Majority in Psychiatric Inpatient Care

1. Front Matter

   Pages i-xiii

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2. Introduction

   • Charles A. Kiesler, Celeste G. Simpkins

   Pages 1-9

3. Hospitalization for Mental and Other Disorders

   • Charles A. Kiesler, Celeste G. Simpkins

   Pages 11-24

4. Public Policy Issues Affecting Psychiatric Inpatient Treatment

   • Charles A. Kiesler, Celeste G. Simpkins

   Pages 25-34

5. The National Context

   • Charles A. Kiesler, Celeste G. Simpkins

   Pages 35-48

6. Methods

   • Charles A. Kiesler, Celeste G. Simpkins

   Pages 49-57

7. The Baseline and Overall Data from 1980

   • Charles A. Kiesler, Celeste G. Simpkins

   Pages 59-80

8. Predicting Hospital Length of Stay for Psychiatric Inpatients

   • Charles A. Kiesler, Celeste G. Simpkins

   Pages 81-92

9. Who Is Treated in Psychiatric Scatter Beds in General Hospitals?

   • Charles A. Kiesler, Celeste G. Simpkins

   Pages 93-105

10. Changes in Site and Development of Quasi-Units

    • Charles A. Kiesler, Celeste G. Simpkins

    Pages 107-116

11. Who Pays? And to Whom?

    • Charles A. Kiesler, Celeste G. Simpkins

    Pages 117-125

12. Case Mix and Dual Diagnoses

    • Charles A. Kiesler, Celeste G. Simpkins

    Pages 127-141

13. The Psychiatric Inpatient Treatment of Children and Youth in General Hospitals

    • Charles A. Kiesler, Celeste G. Simpkins

    Pages 143-154

14. The Psychiatric Inpatient Treatment of the Elderly

    • Charles A. Kiesler, Celeste G. Simpkins

    Pages 155-175

15. Psychiatric Inpatient Treatment of the Disabled

    • Charles A. Kiesler, Celeste G. Simpkins

    Pages 177-186

16. Effects of Hospital Exemption from the Prospective Payment System

    • Charles A. Kiesler, Celeste G. Simpkins

    Pages 187-193

17. Summary of Empirical Findings

    • Charles A. Kiesler, Celeste G. Simpkins

    Pages 195-201

18. Some Scientific and Research Issues

    • Charles A. Kiesler, Celeste G. Simpkins

    Pages 203-215

19. Some Public Policy Issues

    • Charles A. Kiesler, Celeste G. Simpkins

    Pages 217-227

20. General Conclusions

    • Charles A. Kiesler, Celeste G. Simpkins

    Pages 229-236

This book is a research mono graph reporting empirical results, but we have tried to place the data in a very broad national perspective. Our intent is a volume on mental health policy in the United States, most notably our de facto policies, as indicated by empirical data. The book gives a broad perspective of mental disorders and mental disorder treatment in general hospitals in the United States. The audi­ ence that we ho pe to reach is those interested in mental health policy, planning, and treatment alternatives. The issues raised in this book are germane to anyone who is concerned with the problems that beset those see king treatment for mental or substance abuse disorders. We address the foUowing types of issues: (1) the history of health policy in the United States; (2) the history of our mental health policy as a eomponent of our health poliey; (3) the effeets of ehanges in payment policies; (4) mental disorders among special populations (children, the elderly, the disabled); (5) the cost of treatment; (6) changes in labeling of diagnosis; (7) the effectiveness of treatment; and (8) evolving public policy issues.

• Affect
• Mental Health
• children
• development
• diagnosis
• empirical research
• health
• health policy
• hospital
• planning
• research
• state
• treatment
• youth

• University of Missouri-Columbia, Columbia, USA

  Charles A. Kiesler

• Vanderbilt University, Nashvillle, USA

  Celeste G. Simpkins

Policies and ethics