The Economics of Long‐Term Care for the Mentally Ill

Bibliographic Data

ID10220233
AuthorsLinda K Frisman (0000-0002-6724-2210, Yale University, corresponding author), Thomas G Mcguire
Year1989
Volume45
Issue3
Pages119-130
Publication date1989-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Social Issues (JOURNAL)
Journal identifiersISSN: 0022-4537 • E-ISSN: 1540-4560
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1540-4560.1989.tb01559.x
OpenAlexW2098867509
LanguageEN
Citations received2
References cited11

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 proposed financing models according to these characteristics

Actuarial science · Business · Economic growth · Economics · Health care · Ideal (ethics · Incentive · Long-term care · Mental health · Mental illness · Mentally ill · Microeconomics · Nursing homes · Political science · Psychiatry · Public economics · Reimbursement · State (computer science · Term (time · Law · Medicine · Mental Health Treatment and Access · Nursing · Psychiatric care and mental health services · Psychology · Schizophrenia research and treatment

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