scholarly journals Public Expenditures for Mental Health Services in Canadian Provinces

2017 ◽  
Vol 63 (4) ◽  
pp. 250-256 ◽  
Author(s):  
Jian Wang ◽  
Philip Jacobs ◽  
Arto Ohinmaa ◽  
Anne Dezetter ◽  
Alain Lesage
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Public Spending ◽  
Health Spending ◽  
Health Care Expenditures ◽  
Fiscal Year ◽  
Public Expenditures ◽  
Hospital Inpatient ◽  
Publicly Funded

Objective: The purpose of this study is to measure provincial spending for mental health services in fiscal year (FY) 2013 and to compare these cost estimates to those of FY 2003. Methods: This study estimated the costs of publicly funded provincial mental health services in FY 2013 and compared them to the estimates for FY 2003 from a previously published report. Our data were obtained from publicly accessible databases. The cross-year cost comparisons for provincial mental health services were restricted to general and psychiatric hospital inpatients, clinical payments to physicians and psychologists, and prescribed psychotropic medications. Total public expenditures were inflation adjusted and expressed per capita and as a percentage of the total provincial health spending. Results: Total public spending for mental health and addiction programs/services was estimated to be $6.75 billion for FY 2013. The largest component of the expenditures was hospital inpatient services ($4.02 billion, 59.6%), followed by clinical payments to physicians or psychologists ($1.69 billion, 25%), and then publicly funded prescribed psychotherapeutic medications ($1.04 billion, 15.4%). Nationally, the portion of total public spending on health that was spent on mental health decreased from FY 2003 to FY 2013 from 5.4% to 4.9%. Conclusion: Our results reveal that mental health spending, as a proportion of public health care expenditures, decreased in the decade from FY 2003 to FY 2013. Due to large differences in how the provinces report community mental health services, we still lack a comprehensive picture of the mental health system.

The Direct Public-Sector Costs for Mental Health in Alberta

2005 ◽  
Vol 18 (3) ◽  
pp. 25-28 ◽  
Author(s):  
Ray Block ◽  
Mel Slomp ◽  
Philip Jacobs ◽  
Arto Ohinmaa
Keyword(s):  
Mental Health ◽  
Public Sector ◽  
Mental Health Services ◽  
Health Services ◽  
Direct Method ◽  
Fiscal Year ◽  
Health Costs ◽  
Publicly Funded ◽  
Physician Services ◽  
Mental Health Costs

The purpose of the study was to estimate the direct 2002 fiscal year costs for mental health services in Alberta. Data were collected on mental health publicly funded services and costs. Mental health services cost $573 million annually, amounting to about 8.4% of all provincial health services. The greatest share of costs was for regional inpatient services and physician services (both at 22%). The more direct method used in this study shows higher estimates of mental health costs than previous studies.

scholarly journals Public mental health services in Mumbai

2010 ◽  
Vol 7 (4) ◽  
pp. 97-99
Author(s):  
Ajanta Akhuly ◽  
Mrinmoyi Kulkarni
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Public Mental Health ◽  
Publicly Funded ◽  
Special Significance ◽  
The Public ◽  
Migrant Populations ◽  
Public Mental Health Services ◽  
The World

Mumbai, India's largest city, also has the distinction of being the most populous city in the world. The association between urbanisation and mental illness has been widely documented (Harpham & Blue, 1995, especially pp. 41–60). Mumbai is characterised by dense slums housing large migrant populations facing stressful lives. The state of publicly funded mental health facilities in Mumbai has special significance in this context, since they are the only resource available to a large economic ally vulnerable section of the population. The objective of the present study was to evaluate the public mental health services in Mumbai and to identify areas for improvement.

scholarly journals A capability framework to develop leadership for evidence-informed therapies in publicly-funded mental health services

2017 ◽  
Vol 13 (3) ◽  
pp. 151-165 ◽  
Author(s):  
Geoffrey Lau ◽  
Pamela Meredith ◽  
Sally Bennett ◽  
David Crompton ◽  
Frances Dark
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Workforce Development ◽  
Cost Effective ◽  
Publicly Funded ◽  
Standard Case ◽  
Content Type ◽  
Management Roles ◽  
Standard Case Management

Purpose It is difficult to replicate evidence-informed models of psychosocial and assertive care interventions in non-research settings, and means to determine workforce capability for psychosocial therapies have not been readily available. The purpose of this paper is to describe and provide a rationale for the Therapy Capability Framework (TCF) which aims to enhance access to, and quality of, evidence-informed practice for consumers of mental health services (MHSs) by strengthening workforce capabilities and leadership for psychosocial therapies. Design/methodology/approach Guided by literature regarding the inadequacies and inconsistencies of evidence-informed practice provided by publicly-funded MHSs, this descriptive paper details the TCF and its application to enhance leadership and provision of evidence-informed psychosocial therapies within multi-disciplinary teams. Findings The TCF affords both individual and strategic workforce development opportunities. Applying the TCF as a service-wide workforce strategy may assist publicly-funded mental health leaders, and other speciality health services, establish a culture that values leadership, efficiency, and evidence-informed practice. Originality/value This paper introduces the TCF as an innovation to assist publicly-funded mental health leaders to transform standard case management roles to provide more evidence-informed psychosocial therapies. This may have clinical and cost-effective outcomes for public MHSs, the consumers, carers, and family members.

Population needs for mental health services. Introduction to the theme

1997 ◽  
Vol 6 (S1) ◽  
pp. 3-12
Author(s):  
Ville Lehtinen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Services ◽  
Unmet Need ◽  
Health Resources ◽  
Economic Recession ◽  
Health Care Expenditures ◽  
Public And Private

All over the world large sums of both public and private money are expended on the operation of psychiatric health care services. In most of the European countries mental health care expenditures, as well as the total health care budget, increased quite rapidly during the 80s. But in the 90s the economic recession has forced to cut down costs which has meant a decrease in mental health resources and, evidently, an increase of the unmet need for these services in the population.The problem is that the development of mental health services has been, for the most part, merely accidental and random, usually not clearly planned and based neither on real knowledge of the population needs nor on setting priorities when all needs can not be satisfied. During the period of increasing resources there was no real need for priority setting; somewhat exaggerating one can say that every emerging demand for services could be met by allocating new resources. During the recession, on the other hand, the cutting of costs have been the main goal, leading again to an unplanned development: the cuts of resources have been rather forced and panicky, not based on consideration of true population needs or the consequences of the development.

Small Area Variation in the Utilization of Mental Health Services: Implications for Health Planning and Allocation of Resources

1995 ◽  
Vol 40 (9) ◽  
pp. 527-532 ◽  
Author(s):  
Ann Kelly ◽  
Wayne Jones
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Utilization ◽  
Small Area ◽  
Census Data ◽  
Health Planning ◽  
Hospital Inpatient ◽  
Small Area Variation ◽  
Psychiatric Beds

Objective To determine the variables associated with utilization of mental health services and to develop a planning model to predict service utilization that incorporates these factors. Method A regression analysis of service utilization and demographic characteristics was used to assess the relative importance of alternative service, supply of psychiatrists and demographics in explaining variations of services use. A model using socioeconomic factors was applied to the population to predict need. Results The percentage of divorced males was the only factor significantly and positively correlated with the utilization of hospital inpatient and provincial psychiatric beds. Predicted need exceeds utilization in 7 out of 10 areas for all services. Conclusions Small area variations in inpatient psychiatric utilization is correlated with community characteristics, not supply of psychiatrists or utilization of alternative services. A model has been developed using census data to allocate resources according to need.

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