The Unnoticed Majority in Psychiatric Inpatient Care / Edition 1

by Charles A. Kiesler, Celeste G. Simpkins

Overview

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.

Product Details

ISBN-13:	9780306443633
Publisher:	Springer US
Publication date:	06/30/1993
Series:	Springer Series on Stress and Coping
Edition description:	1993
Pages:	256
Product dimensions:	6.14(w) x 9.21(h) x 0.36(d)

About the Author

Kiesler, Charles A. (Univ of Missouri-Columbia); Simpkins, Celeste G. (Vanderbilt Univ)

Table of Contents

1. Introduction: Where We Are Going and What We Will Find.- 2. Hospitalization for Mental and Other Disorders.- 3. Public Policy Issues Affecting Psychiatric Inpatient Treatment.- 4. The National Context: The De Facto System of Psychiatric Inpatient Care.- 5. Methods.- 6. The Baseline and Overall Data from 1980.- 7. Predicting Hospital Length of Stay for Psychiatric Inpatients.- 8. Who Is Treated in Psychiatric Scatter Beds in General Hospitals? An Imputational Algorithm.- 9. Changes in Site and Development of Quasi-Units.- 10. Who Pays? And to Whom?.- 11. Case Mix and Dual Diagnoses.- 12. The Psychiatric Inpatient Treatment of Children and Youth in General Hospitals.- 13. The Psychiatric Inpatient Treatment of the Elderly.- 14. Psychiatric Inpatient Treatment of the Disabled.- 15. Effects of Hospital Exemption from the Prospective Payment System.- 16. Summary of Empirical Findings.- 17. Some Scientific and Research Issues.- 18. Some Public Policy Issues.- 19. General Conclusions.- References.- Author Index.

Editorial Reviews

Increasingly, inpatient psychiatric care takes place in general hospitals, and frequently outside of psychiatric units. Focusing on data from 1980 and 1985, the authors explore this de facto system of treatment, and discuss the history of US health and mental health policy, the effects of changes in payment policies, mental health disorders among specific populations, cost and effectiveness of treatment, changes in diagnostic labeling, and evolving policy issues. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Booknews