title: Laypersons' choices and deliberations for mental health coverage.
abstract: Insurance coverage for mental health services has historically lagged behind other types of health services. We used a simulation exercise in which groups of laypersons deliberate about healthcare tradeoffs. Groups deciding for their "community" were more likely to select mental health coverage than individuals. Individual prioritization of mental health coverage, however, increased after group discussion. Participants discussed: value, cost and perceived need for mental health coverage, moral hazard and community benefit. A deliberative exercise in priority-setting led a significant proportion of persons to reconsider decisions about coverage for mental health services. Deliberations illustrated public-spiritedness, stigma and significant polarity of views.
authors: Health Service and Population Research Department, Institute of Psychiatry, King's College London, De Crespigny Park, London, UK. Sara.Evans-Lacko@iop.kcl.ac.uk
authors: Sara E
authors: SE
authors: Evans-Lacko
authors: Nancy
authors: N
authors: Baum
authors: Marion
authors: M
authors: Danis
authors: Andrea
authors: A
authors: Biddle
authors: Susan
authors: S
authors: Goold
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003258:Consumer Behavior; D003657:Decision Making; D017144:Focus Groups; D006291:Health Policy; D006801:Humans; D019458:Insurance Coverage; D007348:Insurance, Health; D008297:Male; D008605:Mental Health Services / Q000191:economics*; D008875:Middle Aged