title: Effect of declining mental health service use on employees of a large corporation.
abstract: This study examines concurrent changes in use of mental and general health services and in annual sick days among 20,814 employees of a large corporation. From 1993 to 1995 mental health service use and costs declined by more than one-third, more than three times as much as the decline in non-mental health service use. However, employees who used mental health services showed a 37 percent increase in use of non-mental health services and significantly increased sick days, whereas other employees showed no such increases. Savings in mental health services were fully offset by increased use of other services and lost workdays.
authors.affiliation: Yale University School of Medicine, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Rosenheck
authors.forename: B
authors.initials: B
authors.lastname: Druss
authors.forename: M
authors.initials: M
authors.lastname: Stolar
authors.forename: D
authors.initials: D
authors.lastname: Leslie
authors.forename: W
authors.initials: W
authors.lastname: Sledge
mesh_terms: D017046:Cost Savings; D003362:Cost-Benefit Analysis; D006264:Health Benefit Plans, Employee / Q000191:economics / Q000706:statistics & numerical data*; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006279:Health Maintenance Organizations / Q000191:economics / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007221:Industry; D008605:Mental Health Services / Q000191:economics / Q000706:statistics & numerical data*; D018582:Sick Leave / Q000191:economics / Q000706:statistics & numerical data*; D014481:United States