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J Behav Health Serv Res ; 30(4): 433-43, 2003.
Article in English | MEDLINE | ID: mdl-14593666

ABSTRACT

This article examines 1997 national expenditures on mental health and substance abuse (MH/SA) treatment by 3 major age groups: 0-17, 18-64, and 65 and older. Of the total $82.4 billion in MH/SA expenditures, 13% went to children, 72% to adults, and 15% to older adults. MH/SA treatment expenditures made up 9% of total health care expenditures on children, 11% of total health care expenditures on adults, and 3% of total health care expenditures on older adults. Across the 3 age groups, distinct differences emerged in the distribution of MH/SA expenditures by provider-type. For example, about 85% of spending for youth was for specialty MH/SA providers, compared to 76% for adults and 51% for older adults. In addition, 33% of MH/SA spending for older adults went to nursing home care, while other age groups had almost no expenditures in nursing homes. Age-specific estimates enable policymakers, providers, and researchers to design programs and studies more appropriately tailored to specific age groups.


Subject(s)
Health Expenditures/statistics & numerical data , Mental Disorders/therapy , Mental Health Services/economics , Substance-Related Disorders/therapy , Adolescent , Adult , Age Factors , Aged , Child , Child, Preschool , Health Care Surveys , Health Expenditures/classification , Humans , Infant , Infant, Newborn , Mental Disorders/economics , Mental Disorders/epidemiology , Mental Health Services/classification , Middle Aged , Prevalence , Resource Allocation/classification , Substance-Related Disorders/economics , Substance-Related Disorders/epidemiology , United States/epidemiology
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