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Mental Health Services in Transition: the United States and the United Kingdom

Published online by Cambridge University Press:  02 January 2018

James Raftery
James Raftery*
Affiliation:
Department of Public Health Sciences, St George's Hospital Medical School, London, and Health Economist, Wandsworth Health Authority
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Extract

Mental health services are of interest not only because of the large burden they impose, but also because they have been subject to more change than virtually any other type of health service over the past four decades. Although both the US and UK have taken to ‘deinstitutionalisation’ with enthusiasm, the US has so far proceeded somewhat further down that road than the UK. While both countries face similar problems, the NHS and Community Care Act 1990 may now lead to considerable further changes in the UK.

Type
Annotation
Information
The British Journal of Psychiatry , Volume 161 , Issue 5 , November 1992 , pp. 589 - 593
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

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References

Bennett, D. (1991) The international perspective. In Community Psychiatry – The Principles (eds D. Bennett & H. L. Freeman). London: Churchill Livingstone.Google Scholar
Chisholm, J. (1990) The Read Clinical Classification. British Medical Journal, 300, 1092.CrossRefGoogle ScholarPubMed
Department of Health (1990) The Care Programme Approach for People with a Mental Illness Referred to the Specialist Psychiatric Services. HC (90) 23/; LASSL (90) Joint Health/Social Services Circular. London: Department of Health.Google Scholar
Department of Health (1991) Assessing Health Care Needs. DHA Project Paper, NHSME. London: Department of Health.Google Scholar
Enthoven, A. (1985) Reflections on Management of the NHS. London: Nuffield Hospital Trust.Google Scholar
Goldman, G. H. & Skinner, E. A. (1990) Specialty mental health service delivery. In New Directions for Mental Health Services (eds C. Taube, D. Mechanic & A. A. Hohmann). Washington, DC: Hemisphere Publications.Google Scholar
Greene, S., Witkin, M., Atay, J., et al (1986) State and County Mental Hospitals, United States, 1982–83 and 1983–84, with Trend Analyses from 1973–74 to 1983–84. NIMH Statistical Note No 176. Rockville, MD: National Institute of Mental Health.CrossRefGoogle ScholarPubMed
Hafner, A. (1987) Do we still need beds for psychiatric patients? Acta Psychiatrica Scandinavica, 75, 113–126.CrossRefGoogle ScholarPubMed
HMSO (1976) Facilities in Mental Illness Hospitals and Units, England. London: HMSO.Google Scholar
HMSO (1985) Health and Personal Social Services Statistics for N. Ireland, Belfast 1985 and Previous Years. London: HMSO.Google Scholar
HMSO (1987a) Community Care; an Agenda for Action, a Report to the Secretary of State for Social Services by Sir Roy Griffiths. London: HMSO.Google Scholar
HMSO (1987b) Health & Personal Social Services Statistics for Wales, Cardiff, 1987 and Previous Years. London: HMSO.Google Scholar
HMSO (1987c) Scottish Health Service Costings, Edinburgh, 1987 and Previous Years. London: HMSO.Google Scholar
HMSO (1989a) Health and Personal Social Services Statistics. London: HMSO.Google Scholar
HMSO (1989b) Capital Charges: Funding Issues, Working Paper no. 9. London: HMSO.Google Scholar
HMSO (1989c) Facilities in Mental Illness Hospitals and Units, England. London: HMSO.Google Scholar
House of Commons (1989) Report of Select Committee on Social Services. London: HMSO.Google Scholar
HMSO (1990) Public Expenditure on Health Matters (cmnd 484). London: HMSO.Google Scholar
Jones, K. (1972) A History of the Mental Health Services. London: Routledge & Kegan Paul.Google Scholar
Kiesler, C. A. & Sibulkin, A. E. (1987) Mental Hospitalisation: Myths and Facts about a National Crisis. Newbury Park, California, US: Sage Publications.Google Scholar
Laing, W. (1989) Laing's Guide to Private Healthcare. London: Laing & Buisson.Google Scholar
McGuire, T. (1991) Measuring the economic costs of schizophrenia. Schizophrenia Bulletin, 17, 375–388.CrossRefGoogle ScholarPubMed
Mitchell, J., Dickey, B., Liptzin, B., et al (1987) Bringing psychiatric patients into the medicare prospective payments system; alternatives to DRGS. American Journal of Psychiatry, 144, 610–615.Google ScholarPubMed
Mollica, R. F. & Astrachan, B. M. (1991) Equity, effectiveness and equality in mental health services. In Community Psychiatry The Principles (eds D. Bennett & H. L. Freeman). London: Churchill Livingstone.Google Scholar
Moore, W. (1991) Teaching hospitals face death by 1000 cuts. Health Services Journal, 101, 5233.Google Scholar
Muijen, M., Marks, I. & Connolly, J. (1991) The Daily Living Programme, a controlled trial of community care for the severely mentally ill in Camberwell. In The Closure of the Mental Hospitals (eds P. Hall & J. Brockington). London: Gaskell.Google Scholar
Organization for Economic Cooperation & Development (1990) Health Care Systems in Transition: The Search for Efficiency, OECD Social Policy Studies, No. 7. Paris: OECD.Google Scholar
Olfson, M. (1990) Assertive community treatment: an evaluation of the experimental evidence. Hospital and Community Psychiatry, 41, 634–641.Google ScholarPubMed
Raftery, J. (1989) Adding up some capital charges. Health Services Journal, 99, 1186–1189.Google Scholar
Raftery, J. (1991) Social policy and community psychiatry in the UK. In Community Psychiatry – The Principles (eds D. Bennett & H. L. Freeman). London: Churchill Livingstone.Google Scholar
Redick, R. W., Witkin, M., Attay, J., et al (1987) Expenditure and Sources of Funds for Mental Health Organisations. NIMH Statistical Note 180. Rockville, MD: National Institute of Mental Health.Google Scholar
Rice, D. P., Kelman, S., Miller, L. S., et al (1990) The Economic Costs of Alcohol & Drug Abuse & Mental Illness: 1985. Rockville, MD: National Institute of Mental Health.Google Scholar
Rubin, J. (1990) Economic barriers to implementing innovative mental health care in the United States. In Mental Health Care Delivery: Innovations, Impediments and Implementation (eds I. Marks & R. Scott). New York: Cambridge University Press.Google Scholar
Sayce, L. (1987) Revolution under review. Health Services Journal, 97, 1378–1379.Google ScholarPubMed
Sartorius, N. (1990) Mental health care in continental Europe: medley or mosaic? In Mental Health Care Delivery: Innovations, Impediments and Implementation (eds I. Marks & R. Scott). New York: Cambridge University Press.Google Scholar
US Bureau of the Census (1975) Historical Statistics of the United States; Colonial Times to 1970. Washington, DC: US Dept of Commerce.Google Scholar
US Department of Commerce (1989) Statistical Abstract of the United States. Washington, DC: US Dept of Commerce.Google Scholar
Weisbrod, B. A., Test, M. A. & Stein, L. I. (1980) Alternatives to mental hospital III: economic cost benefit analysis. Archives of General Psychiatry, 37, 400–405.CrossRefGoogle Scholar
Witkin, M. (1981) State and Regional Distribution of Beds, 1978, Statistical Note 155, NIMH, 1981. Rockville, MD: National Institute of Mental Health.Google ScholarPubMed
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