Abstract
This paper used data obtained from Santa Clara County, California, to study the costs and use of public mental health services among ethnic populations (Asians, Blacks, Hispanics, and Whites). The study had access to 12,436 unduplicated users of services. The study found Whites had the highest per capita costs, while Asians incurred the lowest. However, after controlling for other demographic characteristics, Asians incurred higher costs than Whites. This reversal of Whites and Asians occurred because cost distributions are more skewed for Whites than Asians. Asians had the highest median costs and Hispanics the lowest. The top 5% of users incurred about 50% of the total public mental health costs.
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Hough RL, Landsverk JA, Karno M, et al.: Utilization of health and mental health services by Los Angeles Mexican American and non Hispanic whites.Archives of General Psychiatry 1987; 44:702–709.
Sussman LK, Robins LN, Earl F: Treatment seeking for depression by Black and White Americans.Social Science and Medicine 1987; 24:187–196.
Wells KB, Hough RK, Golding JM, et al.: Which Mexican Americans underutilize health services?American Journal of Psychiatry 1987; 144:918–922.
Vega W, Kolody B, Valle R, et al.: Depressive symptoms and their correlates among immigrant Mexican women in the United States.Social Science and Medicine 1986; 22:645–651.
Leaf PJ, Livingston MM, Ticshler GL, et al.: Contact with health professionals for the treatment of psychiatric and emotion problems.Medical Care 1985; 23:1322–1337.
Williams C: The southeast Asian refugees and community mental health.Journal of Community Psychology 1985; 13:258–269.
Armstrong HE, Ishiki P, Heiman J, et al.: Service utilization by Black and White clientele in an urban community mental health center: revised assessment of an old problem.Community Mental Health Journal 1984; 20:269–280.
Mechanic D: The evaluation of mental health services and mental health services research. In: Taube C, Mechanic D, Hohnan A (eds.):The Future of Mental Health Services Research. Washington, D.C.: National Institute of Mental Health, 1987.
Snowden LR, Cheuning FK: Use of inpatient service by members of ethnic minority groups.American Psychologist 1990; 45:347–355.
Howard KI, Minz J, Krause MO, et al.: The dose effect relationship in psychotherapy.American Psychologist 1986; 41:159–164.
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All are associated with the Center for Research on the Organization and Financing of Care for the Severely Mentally Ill, the Western Consortium for Public Health. This study was supported by Grant MHR01-44753 from the National Institute of Mental Health. The opinions expressed are those of the authors alone, not of the authors’ affiliations.
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Hu, Tw., Snowden, L.R. & Jerrell, J.M. Costs and use of public mental health services by ethnicity. The Journal of Mental Health Administration 19, 278–287 (1992). https://doi.org/10.1007/BF02518992
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DOI: https://doi.org/10.1007/BF02518992