Prevalence of, and payments for, mental health and substance abuse disorders in public and private sector health plans (Chapter 13)
Few estimates have been made of the number of Americans who suffer from mental or substance use (MH/SA) disorders and the utilization and costs associated with treating these conditions for both public and private payers. Previous studies focused on costs of M/SU services in the private sector (Garnick, et al., 1996; Goldman, et al., 1998) or particular public programs (Callahan, et al., 1995; Cano, et al., 1997). Moreover, prior studies rarely provided separate estimates for mental health disorders and substance abuse disorders for the same payer. Because the structure of the health care system has changed significantly during the past decade, a comprehensive study of MH/SA utilization across public and private sectors and over time is needed to provide a framework from which the effects of these changes can be assessed.