An econometric model of an episode of mental health care for patients with mild conditions: implications for caregiver substitution.
This article presents a model of the number of hours of mental health care, the concurrent improvement in the patient's condition, the probability the patient will receive medications, and the reasons for treatment termination. The variables related to these aspects of mental health care are analyzed separately for patients of psychiatrists, psychologists, and social workers. Estimates of the average length of treatment, the average price and income elasticities, and the average cost of treatment are obtained from the model. The major conclusions from this study are that psychiatrists do not have a benefit-cost advantage in the treatment of relatively mild conditions, and that consumer responsiveness to variations in price appear to be largely confined to the decision to seek treatment. These and other findings provide a basis for making tentative recommendations about personnel substitution and reimbursement policies in mental health.
Cross
J G
JG
Mental Health Research Institute, The University of Michigan, Ann Arbor 48109.
Knesper
D J
DJ
De Rooij
J P
JP
D003362:Cost-Benefit Analysis / Q000706:statistics & numerical data*; D007358:Insurance, Psychiatric; D008605:Mental Health Services / Q000191:economics*; D015233:Models, Statistical; D010043:Outcome and Process Assessment, Health Care / Q000191:economics*; D011570:Psychiatry / Q000191:economics; D011613:Psychotherapy / Q000191:economics; D012949:Social Work, Psychiatric / Q000191:economics; D014481:United States