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27.01.2024
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This book is a research mono graph reporting empirical results, but we have tried to place the data in a very broad national perspective. Our intent is a volume on mental health policy in the United States, most notably our de facto policies, as indicated by empirical data. The book gives a broad perspective of mental disorders and mental disorder treatment in general hospitals in the United States. The audi­ ence that we ho pe to reach is those interested in mental health policy, planning, and treatment alternatives. The issues raised in this book are germane to anyone who is concerned with the problems that beset those see king treatment for mental or substance abuse disorders. We address the foUowing types of issues: (1) the history of health policy in the United States; (2) the history of our mental health policy as a eomponent of our health poliey; (3) the effeets of ehanges in payment policies; (4) mental disorders among special populations (children, the elderly, the disabled); (5) the cost of treatment; (6) changes in labeling of diagnosis; (7) the effectiveness of treatment; and (8) evolving public policy issues.








Content:
Front Matter....Pages i-xiii
Introduction....Pages 1-9
Hospitalization for Mental and Other Disorders....Pages 11-24
Public Policy Issues Affecting Psychiatric Inpatient Treatment....Pages 25-34
The National Context....Pages 35-48
Methods....Pages 49-57
The Baseline and Overall Data from 1980....Pages 59-80
Predicting Hospital Length of Stay for Psychiatric Inpatients....Pages 81-92
Who Is Treated in Psychiatric Scatter Beds in General Hospitals?....Pages 93-105
Changes in Site and Development of Quasi-Units....Pages 107-116
Who Pays? And to Whom?....Pages 117-125
Case Mix and Dual Diagnoses....Pages 127-141
The Psychiatric Inpatient Treatment of Children and Youth in General Hospitals....Pages 143-154
The Psychiatric Inpatient Treatment of the Elderly....Pages 155-175
Psychiatric Inpatient Treatment of the Disabled....Pages 177-186
Effects of Hospital Exemption from the Prospective Payment System....Pages 187-193
Summary of Empirical Findings....Pages 195-201
Some Scientific and Research Issues....Pages 203-215
Some Public Policy Issues....Pages 217-227
General Conclusions....Pages 229-236
Back Matter....Pages 237-256



Content:
Front Matter....Pages i-xiii
Introduction....Pages 1-9
Hospitalization for Mental and Other Disorders....Pages 11-24
Public Policy Issues Affecting Psychiatric Inpatient Treatment....Pages 25-34
The National Context....Pages 35-48
Methods....Pages 49-57
The Baseline and Overall Data from 1980....Pages 59-80
Predicting Hospital Length of Stay for Psychiatric Inpatients....Pages 81-92
Who Is Treated in Psychiatric Scatter Beds in General Hospitals?....Pages 93-105
Changes in Site and Development of Quasi-Units....Pages 107-116
Who Pays? And to Whom?....Pages 117-125
Case Mix and Dual Diagnoses....Pages 127-141
The Psychiatric Inpatient Treatment of Children and Youth in General Hospitals....Pages 143-154
The Psychiatric Inpatient Treatment of the Elderly....Pages 155-175
Psychiatric Inpatient Treatment of the Disabled....Pages 177-186
Effects of Hospital Exemption from the Prospective Payment System....Pages 187-193
Summary of Empirical Findings....Pages 195-201
Some Scientific and Research Issues....Pages 203-215
Some Public Policy Issues....Pages 217-227
General Conclusions....Pages 229-236
Back Matter....Pages 237-256
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