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In the shift from inpatient to outpatient mental health services, the office-based or private practice of psychiatrists and psychologists has assumed a major role during the past two decades. These two professional groups each provide one third of the mental health ambulatory visits for the U.S. population. However, information on their practice patterns has been scarce. The National Medical Care Utilization and Expenditure Survey, a household survey of 17,900 people, was examined to compare psychiatrists' and psychologists' practices with respect to patient characteristics, length of treatment, regional patterns of use, charges, and sources of reimbursement. Although many similarities were identified, differences between psychiatrists' and psychologists' patients were found in age, education, employment, health status, and insurance coverage that seem to be associated with differential reimbursement of •psychiatrists and psychologists.

State and County Mental Hospitals 1946-66 Historical background Changes in the total resident population Changes specific for age and diagnosis Outpatient clinics Day care services Community mental health centers Halfway houses Psychiatric services in general hospitals Nursing homes Utilization of other facilities 1955-68 Morton Kramer received his ScD in hygiene (biostatistics) from Johns Hopkins University in 1934. He is currently Chief of the Biometry Branch of the National Institute of Mental Health. He formerly served as statistician in the

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