BIOMAT Database Logo BIOMAT Database Logo

Ensuring services for persons with chronic mental illness under national health care reform. 1993

H R Lamb, and S M Goldfinger, and D Greenfeld, and K Minkoff, and J C Nemiah, and J J Schwab, and J A Talbott, and A Tasman, and L L Bachrach
Department of Psychiatry, University of Southern California, School of Medicine, Los Angeles 90033.

People with chronic mental illness present complex challenges for the design of health care financing reforms. In this position statement from the committee on psychiatry and community of the Group for the Advancement of Psychiatry, the authors describe chronic and severe mental illnesses as psychiatric illnesses that require acute and ongoing psychiatric assessment and treatment, as chronic medical diseases that require ongoing rehabilitative services, and as persistent disabilities that need ongoing supportive care and social services. Any proposal for health care reform must ensure parity of chronic psychiatric illnesses with other psychiatric conditions. It must also reimburse psychiatric rehabilitation at parity with other medical rehabilitation and provide equal access to and reimbursement for broad ancillary health services that reduce costs and improve quality of life.

UI MeSH Term Description Entries
D007358 Insurance, Psychiatric Insurance providing benefits to cover part or all of the psychiatric care. Insurances, Psychiatric,Psychiatric Insurance,Psychiatric Insurances
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D003156 Community Mental Health Services Diagnostic, therapeutic and preventive mental health services provided for individuals in the community. Community Mental Health Service,Mental Health Services, Community,Assertive Community Treatment,Health Services, Community Mental,Services, Community Mental Health,Services, Mental Health Community,Community Treatment, Assertive,Treatment, Assertive Community
D003191 Comprehensive Health Care Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients. Comprehensive Healthcare,Health Care, Comprehensive,Healthcare, Comprehensive
D003363 Cost Control The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed) Cost Containment,Containment, Cost,Containments, Cost,Control, Cost,Controls, Cost,Cost Containments,Cost Controls
D006291 Health Policy Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system. Health Care Policies,Health Policies,Healthcare Policy,National Health Policy,Care Policies, Health,Health Care Policy,Health Policy, National,Healthcare Policies,National Health Policies,Policies, Health,Policies, Health Care,Policies, Healthcare,Policy, Health,Policy, Health Care,Policy, Healthcare
D006297 Health Services Accessibility The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others. Access To Care, Health,Access to Care,Access to Contraception,Access to Health Care,Access to Health Services,Access to Medications,Access to Medicines,Access to Therapy,Access to Treatment,Accessibility of Health Services,Availability of Health Services,Contraception Access,Contraceptive Access,Medication Access,Accessibility, Health Services,Contraceptive Availability,Health Services Geographic Accessibility,Program Accessibility,Access to Cares,Access to Contraceptions,Access to Medication,Access to Medicine,Access to Therapies,Access to Treatments,Access, Contraception,Access, Contraceptive,Access, Medication,Accessibilities, Health Services,Accessibility, Program,Availability, Contraceptive,Care, Access to,Cares, Access to,Contraception, Access to,Contraceptive Accesses,Health Services Availability,Medication Accesses,Medication, Access to,Medicine, Access to,Medicines, Access to,Therapy, Access to,Treatment, Access to
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001523 Mental Disorders Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function. Mental Illness,Psychiatric Diseases,Psychiatric Disorders,Psychiatric Illness,Behavior Disorders,Diagnosis, Psychiatric,Mental Disorders, Severe,Psychiatric Diagnosis,Illness, Mental,Mental Disorder,Mental Disorder, Severe,Mental Illnesses,Psychiatric Disease,Psychiatric Disorder,Psychiatric Illnesses,Severe Mental Disorder,Severe Mental Disorders
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.

Related Publications

H R Lamb, and S M Goldfinger, and D Greenfeld, and K Minkoff, and J C Nemiah, and J J Schwab, and J A Talbott, and A Tasman, and L L Bachrach
Ensuring quality under national health care reform.
November 1993, Journal of the Mississippi State Medical Association,
H R Lamb, and S M Goldfinger, and D Greenfeld, and K Minkoff, and J C Nemiah, and J J Schwab, and J A Talbott, and A Tasman, and L L Bachrach
The case for a services-based approach to payment for mental illness under national health care reform.
June 1993, Hospital & community psychiatry,
H R Lamb, and S M Goldfinger, and D Greenfeld, and K Minkoff, and J C Nemiah, and J J Schwab, and J A Talbott, and A Tasman, and L L Bachrach
Health maintenance organizations, health care reform, and persons with serious mental illness.
September 1994, Hospital & community psychiatry,
H R Lamb, and S M Goldfinger, and D Greenfeld, and K Minkoff, and J C Nemiah, and J J Schwab, and J A Talbott, and A Tasman, and L L Bachrach
Mental health under national health care reform: the empirical foundations.
November 1994, Health & social work,
H R Lamb, and S M Goldfinger, and D Greenfeld, and K Minkoff, and J C Nemiah, and J J Schwab, and J A Talbott, and A Tasman, and L L Bachrach
Integrating physical activity into mental health services for persons with serious mental illness.
March 2005, Psychiatric services (Washington, D.C.),
H R Lamb, and S M Goldfinger, and D Greenfeld, and K Minkoff, and J C Nemiah, and J J Schwab, and J A Talbott, and A Tasman, and L L Bachrach
[Community integrated services for persons with mental illness].
October 2007, Hu li za zhi The journal of nursing,
H R Lamb, and S M Goldfinger, and D Greenfeld, and K Minkoff, and J C Nemiah, and J J Schwab, and J A Talbott, and A Tasman, and L L Bachrach
Health care reform and rural mental health: severe mental illness.
October 1996, Community mental health journal,
H R Lamb, and S M Goldfinger, and D Greenfeld, and K Minkoff, and J C Nemiah, and J J Schwab, and J A Talbott, and A Tasman, and L L Bachrach
Closing gaps in mental health care for persons with serious mental illness.
December 2001, Health services research,
H R Lamb, and S M Goldfinger, and D Greenfeld, and K Minkoff, and J C Nemiah, and J J Schwab, and J A Talbott, and A Tasman, and L L Bachrach
Leveling the field--ensuring equity through national health care reform.
December 2009, The New England journal of medicine,
H R Lamb, and S M Goldfinger, and D Greenfeld, and K Minkoff, and J C Nemiah, and J J Schwab, and J A Talbott, and A Tasman, and L L Bachrach
A specialized mental health plan for persons with severe mental illness under managed competition.
October 1993, Hospital & community psychiatry,
Copied contents to your clipboard!