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TRENDS

Trends In Mental Health Services Use And Spending, 1987–1996

Mental health and substance abuse (MH/SA) services continue to undergo radical changes in organization, financing, treatment technology, and consumer demand. By the late 1990s, three-fourths of insured Americans had their MH/SA services managed or provided by managed behavioral health care firms.¹ The growth of managed care has, by some measures, been even more rapid in MH/SA services than in medical services as a whole.

Trends in the overall financing of health care services have affected patterns of MH/SA service use and spending as well. Between 1987 and 1996 the number of uninsured persons increased, while the number covered by private . . . [Full Text of this Article]

Study Methods

 
Scope of sample and servicesOutpatient treatment.Inpatient treatment.Psychotropic drug use.Expenditures.Analyses.

Study Results

 
Aggregate use and spending.Percentage with any MH/SA use.Ambulatory treatment.Psychotropic drug use.Inpatient use.Distribution of payment sources.Comparisons with total health spending and use.Age.Sex.Race/ethnicity.Family income.Insurance.

Discussion

 
Limitations.Comparison to other estimates.Implications.

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