Expenditures and Revenues of State Mental Health Agencies, 1981-1985

Lutterman, Theodore C.; Mazade, Noel A.; Wurster, Cecil R.; Glover, Robert W.

doi:10.1176/ps.39.7.758

Cited by 5 publications

(4 citation statements)

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“…19 Data compiled by National Association of State Mental Health Program Directors were used in various studies such as financial information gap in different mental health service delivery systems20 and the assessment of the impact on public mental health policy of the Clinical Antipsychotic Trials of Intervention Effectiveness 21. KEEs for 2013 were obtained from Annual Survey of School System Finances from (https://www.census.gov/govs/school/) the US Census Bureau 22.…”

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confidence: 99%

School shootings during 2013–2015 in the USA

et al. 2016

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Section: Methodsmentioning

confidence: 99%

School shootings during 2013–2015 in the USA

et al. 2016

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“…Frank and Kamlet (1985) estimate that costs of care in state hospitals in 1980 totaled $3.5 billion, which exceeds those for any other single type of mental health provider. Expenditures in state hospitals also represented the largest share (64%) of the states' mental health authority budgets in 1985 (Lutterman, Mazade, Wurster, & Glover, 1988).…”

Section: State Hospitalsmentioning

confidence: 99%

The Economics of Long‐Term Care for the Mentally Ill

Frisman¹,

McGuire²

1989

Journal of Social Issues

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Systems of long-term care for the mentally ill have been largely shaped by financing and reimbursement, rather than sound treatment principles. An undue emphasis on institutional care and the lack of coordination among providers can be attributed to perverse economic incentives and multiple payers. This article argues that, because of the special nature of long-term psychiatric disabilities, there is a predictable underutilization of long-term psychiatric services. It considers three types of settings: state hospitals, nursing homes, and community care, discussing current financing mechanisms in each. Finally, it presents characteristics of ideal systems and examines several proposedfinancing models according to these characteristics.This article argues that long-term care of the mentally ill needs special attention. For several reasons, it cannot be assumed that financing and reimbursement methods that work in one way with medical long-term care patients will operate in a similar way for psychiatric patients. Specifically, the nature of the chronic mentally ill, characteristics of the providers of care, and political forces all lead to a predictable tendency toward underutilization of long-term psychiatric services. The economic incentives of various financing and reim-

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“…From a financial policy standpoint, however, the more important issues may be the fiscal incentive system that exists and often encourages more restrictive placements than are needed and the manner in which existing funds are used. Recently published data indicate that there are eight states or territories in which the per capita expenditures under the direct control of state mental health agencies (SMHA) in fiscal year 1985 were less than $20 (Lutterman, Mazade, Wurster, & Glover, 1988). In contrast there are nine states where the per capita expenditure is over $40, ranging as high as $90 in New York.…”

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confidence: 99%

“…Perhaps even more important, while the percentage of expenditures for community-based services has risen in recent years, it still represents only 32% (Lutterman et al, 1988) of SMHA expenditures. In contrast the expenditures on state hospitals constitute 64% of SMHA expenditures.…”

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Service trends in the children's mental health system: Implications for the training of psychologists.

Friedman¹,

Duchnowski²

1990

Improving Psychological Services for Children and Adolescents With Severe Mental Disorders: Clinical Training in Psychology.

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The purpose of this paper is to present some of the trends in the public mental health sector with regard to services for children with serious emotional problems and to discuss the relevance of these trends for the training of psychologists.Within the public mental health sector, the 1980s have clearly been a time in which the primary focus in children's services has been on children with the most serious emotional problems . At a Federal level, this can be seen in the Child and Adolescent Service System Program (CASSP), an initiative of the National Institute of Mental Health (NIMH) designed to help states improve their capacity to serve seriously emotionally disturbed (SED) children and their families. It can also be seen in the funding, for the first time, of two research and training centers specifically focused on SED children and their families. These centers, located at the

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Expenditures and Revenues of State Mental Health Agencies, 1981-1985

Cited by 5 publications

References 5 publications

School shootings during 2013–2015 in the USA

School shootings during 2013–2015 in the USA

The Economics of Long‐Term Care for the Mentally Ill

Service trends in the children's mental health system: Implications for the training of psychologists.

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