scholarly journals Mental health treatment and medical care utilization in a fee-for-service system: outpatient mental health treatment following the onset of a chronic disease.

1983 ◽  
Vol 73 (4) ◽  
pp. 422-429 ◽  
Author(s):  
H J Schlesinger ◽  
E Mumford ◽  
G V Glass ◽  
C Patrick ◽  
S Sharfstein
Keyword(s):  
Mental Health ◽  
Chronic Disease ◽  
Medical Care ◽  
Mental Health Treatment ◽  
Service System ◽  
Care Utilization ◽  
Fee For Service ◽  
Health Treatment ◽  
Outpatient Mental Health ◽  
Medical Care Utilization

A Controlled Study of the Impact of Mental Health Treatment on Medical Care Utilization

Medical Care ◽  
1984 ◽  
Vol 22 (3) ◽  
pp. 216-222 ◽  
Author(s):  
Simon H. Budman ◽  
Annette B. Demby ◽  
Michael L. Feldstein
Keyword(s):  
Mental Health ◽  
Medical Care ◽  
Mental Health Treatment ◽  
Controlled Study ◽  
Care Utilization ◽  
Health Treatment ◽  
Medical Care Utilization ◽  
The Impact

Health Care Use by Children Receiving Mental Health Services

PEDIATRICS ◽  
1990 ◽  
Vol 85 (1) ◽  
pp. 114-118 ◽  
Author(s):  
Kelly Kelleher ◽  
Barbara Starfield
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Medical Care ◽  
Mental Health Treatment ◽  
Psychosocial Problems ◽  
Important Variable ◽  
Health Care Use ◽  
Care Utilization ◽  
Health Treatment ◽  
The Impact

Reduction in medical care utilization is one criteria for assessing the impact of mental health treatment for children with psychosocial problems. This reduction has been termed the "offset" effect. Almost all published research concerning offset after mental health treatment concerns adults, and the few studies in pediatric populations are limited by methodologic problems. A study of health care utilization after mental health treatment for children was conducted. Mental health treatment for psychosocial problems was significantly associated with decreased use of medical care only for older children, after potentially confounding variables were controlled for. Furthermore, this decreased use was found only for nonmental health specialty care visits. No reduction in primary care visits occurred. Other factors such as previous patterns of use and the presence of other morbidity were stronger predictors of subsequent primary health care use than was mental health treatment. Mental health treatment does not have a major impact on the high utilization of most children with psychosocial problems in pediatric settings. Because the reasons for this may be particular morbidity patterns in these children, future studies should include some measure of case mix as a potentially important variable in assessment of mental health treatment effects.

Locus of Mental Health Treatment in an Integrated Service System

2000 ◽  
Vol 51 (7) ◽  
pp. 890-892 ◽  
Author(s):  
Benjamin G. Druss ◽  
Robert A. Rosenheck
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Service System ◽  
Health Treatment ◽  
Integrated Service
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