The Unnoticed Majority in Psychiatric Inpatient CareSpringer Science & Business Media, 1993 M06 30 - 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. |
Contents
Where We Are Going | 1 |
The Plan of the Book | 7 |
Discussion | 8 |
The Nineteenth Century | 14 |
Psychiatric Units and General Hospitals | 22 |
Methodological Issues | 38 |
Exempt Status | 53 |
The Baseline and Overall Data | 60 |
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 |
247 | |
Other editions - View all
The Unnoticed Majority in Psychiatric Inpatient Care Charles A. Kiesler,Celeste G. Simpkins Limited preview - 2013 |
The Unnoticed Majority in Psychiatric Inpatient Care Charles A. Kiesler,Celeste G. Simpkins No preview available - 2013 |
The Unnoticed Majority in Psychiatric Inpatient Care Charles A. Kiesler,Celeste G. Simpkins No preview available - 2013 |
Common terms and phrases
affective disorders alcohol and drug American American Hospital Association average length C. A. Kiesler C. G. Simpkins changes Chapter chemical dependency unit children and youth CMHCs commercial insurance comorbidity coverage decreased deinstitutionalization diagnosis of mental Diagnosis-Related Groups disabled drug disorders effective elderly exempt from PPS facto system federal Freiman hospital types hospitals with psychiatric included Kiesler & Sibulkin length of stay less Medicaid Medicare patients ment mental disorders mental health mental health policy mental hospitals mental illness moral treatment Morton neurosis NIMH nonfederal number of episodes outpatient percentage physical disorders physicians predict primary diagnosis private psychiatric hospitals Prospective Payment System psychi psychiatric hospitals psychiatric inpatient episodes psychiatric units psychosis PU and CDU public policy quasi-units reimbursement sample scatter hospitals schizophrenia secondary diagnoses short-term specialty hospitals specialized units substance abuse substantially Table tals Taube treatment of mental unit status variables
Popular passages
Page ix - POS Point of Service PPO Preferred Provider Organization PPRC Physician Payment Review Commission PPS Prospective Payment System ProPAC Prospective Payment Review Assessment Commission RBRVS...
Page ix - Prediction System MPP Minimum Premium Plan NAHDO National Association of Health Data Organizations NAIC National Association of Insurance Commissioners NCHS National Center for Health Statistics NCHSR National Center for Health Services Research NHC National Health Council...