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Article   |    
The Role of General Hospitals in the Privatization of Inpatient Treatment for Serious Mental Illness
William H. Fisher; Robert A. Dorwart; Mark Schlesinger; Sherrie Epstein; Harriet Davidson
Psychiatric Services 1992; doi:
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This work was supported by National Institute of Mental Health grants 1-R01-MH40316 and K20-MH00848.

University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, Massachusetts 01655

Hanyard University

Yale University, Medical School

John F. Kennedy School of Government at Harvard University

Harvard School of Public Health

1992 by the American Psychiatric Association

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Abstract

For almost three decades, many have regarded general hospital psychiatric units as the most appropriate setting for acute treatment of persons with serious mental illness who were once treated mostly in state hospitals. The extent to which this transfer has taken place and the differences between public and private general hospitals have been unclear. Using data from the 1988 National Mental Health Facilities Study and published data from the 1970s, the authors found that nearly half of all general hospitals providing psychiatric services treat persons with serious mental illness. Significant differences in case and payer mix were observed between public and private general hospitals, although these differences were smaller than in the 1970s. The findings suggest increased involvement by private general hospitals in treating patients reimbursed by public payers, but the findings also indicate that persons with serious mental illness and those using Medicaid are still more prevalent in public general hospitals than in private ones.

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