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The rapid growth in the elderly population has increased attention to long-term care and policies that guide and develop long-term care programs. Demands for long-term care are evident across the life span, and long-term care is a critical component of mental health policy. This article provides...
Major policy and funding shifts have stimulated a series of changes in local mental health agencies. Policy and operations responsibilities have shifted to state mental health authorities; funding has moved from categorical programs to block grants; and different client groups are increasingly...
This article examines the public sector's role in the provision of mental health care, concentrating on a financial and economic perspective. A brief history of U.S. public policy toward the mentally ill is provided. The political economy of the mental health care system is then discussed. Four...
This article examines the development of mental health policy in the United States from 1945 to 1985. The mental health system has experienced two major transformations during this period. Data from interviews and records are used to analyze the impact of these changes on the development of...
Kiesler and Sibulkin (in press) reanalyzed various national data bases to develop a comprehensive view of mental hospitalization in the United States. The present article, based upon Kiesler and Sibulkin, summarizes characateristics of inpatient psychiatric episodes in general hospitals and, in...
It would be ironic if reformed psychiatric case records had the unintended side effect of reduction in length of psychiatric hospitalization not obtained by deliberate means. This appears to happen where a new uniform case record allows circumvention of much paperwork if an inpatient is...
This article focuses on federal policies that affect the financing of mental health care services. The need for a delicate balance between controlling the costs of care and assuring access to quality services for those in need is addressed. The programs discussed are Medicare, the federal...
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