This commentary will briefly describe several of Dr. Upton’s central themes and the evolution of mental health coverage and problems associated with that evolution as supportive evidence to Dr. Upton’s central theme, it will critique several provocative notions in Dr. Upton’s book, and it will provide a conclusion about what may be ideal and what is realistic about expanded coverage for psychotherapy.


Mental Health Mental Health Service Mental Health Care National Health Insurance Mental Health Provider 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    The President’s Commission on Mental Health: Report to the President. Washington, DC, US Government Printing Office, 1978.Google Scholar
  2. 2.
    The Select Panel for the Promotion of Child Health: Better Health for Our Children: A National Strategy. Washington, DC, US Government Printing Office, DHHS (PHS) Publication No. 79 - 55071, 1980.Google Scholar
  3. 3.
    U.S. Congress, Office of Technology Assessment: Background Paper No. 3: The efficacy and cost-effectiveness analysis of medical technology. Washington, DC, US Government Printing Office, 1980.Google Scholar
  4. 4.
    Hustead EC, Sharfstein SS: Utilization and cost of mental illness coverage in the federal employees health benefits program, 1973. Am J Psychiatry 135: 3, 1978.Google Scholar
  5. 5.
    Sharfstein SS, Clark HW: Why psychiatry is a low-paid medical specialty. Am J Psychiatry 137: 7, 1980.Google Scholar
  6. 6.
    Illich I: Toward a History of Needs. New York, Pantheon Books, 1978.Google Scholar
  7. 7.
    Sharfstein SS: Third-party payors: To pay or not to pay. Am J Psychiatry 135: 10, 1978.Google Scholar

Copyright information

© Plenum Press, New York 1983

Authors and Affiliations

  • Henry A. Foley
    • 1
  1. 1.Institute for Health Policy StudiesUniversity of California, San FranciscoSan FranciscoUSA

Personalised recommendations