Mental health monopoly: corporate trends in mental health services.
Over the past 30 years, a number of important changes have occurred in the mental health system. This paper examines the origins and effects of these changes, utilizing a political-economic framework. Three main areas are emphasized: the increasing absorption of mental health care into the health care system in general; the ways in which care has been transferred away from traditional settings and responsibilities; and the movement of for-profit chains into mental health services. Particular focus is placed on the rationalizing and monopolizing tendencies increasingly evidenced in the mental health field.
Brown
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Brown University, Providence, RI 02912.
Cooksey
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D003156:Community Mental Health Services / Q000331:legislation & jurisprudence / Q000639:trends; D003688:Deinstitutionalization / Q000639:trends; D003953:Diagnosis-Related Groups; D006291:Health Policy / Q000331:legislation & jurisprudence / Q000639:trends; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000639:trends; D008605:Mental Health Services / Q000191:economics / Q000331:legislation & jurisprudence / Q000639:trends*; D009735:Nursing Homes / Q000639:trends; D009786:Occupational Health Services / Q000639:trends; D014481:United States