The Unnoticed Majority in Psychiatric Inpatient Care

Front Cover
Springer Science & Business Media, Jun 30, 1993 - Medical - 256 pages
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.
 

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Contents

Where We Are Going
1
The Nineteenth Century
14
Health Policy
27
National Inpatient Episodes for 1980 and 1985
40
Discussion
43
Methods
49
Identification of Sampling Issues and Modifications
55
Differences between Surveys in Reporting Unit Status
62
Dual Diagnosis
137
The Psychiatric Inpatient Treatment
143
Data and Change from 1980 to 1985
149
The Psychiatric Inpatient Treatment
155
Drug and Alcohol Disorders MDC20
164
Psychiatric Inpatient Treatment
177
Discussion
185
Discussion
192

Discussion
77
Length of Stay within Payment Source
85
Who Is Treated in Psychiatric Scatter Beds
93
Discussion
103
Discussion
113
Baseline Data
119
Case Mix and Dual Diagnoses
127
Some Scientific and Research Issues
203
Effectiveness of Inpatient Care for Alcohol
212
Children and Youth
219
On Designing a Mental Health and Health System
225
A Glimpse at Future Years
234
Author Index
247
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Page 243 - A Study of Patient Classification Systems for Prospective Rate-Setting for Medicare Patients in General Hospital Psychiatric Units and Psychiatric Hospitals: Final Report.
Page 240 - Impact of psychiatric comorbidity on length of hospital stay for medical/surgical patients: a preliminary report.

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