Mental Hospitalization: Myths and Facts about a National Crisis

Abstract

PART ONE The Problem The History of Mental Hospitalization PART TWO Trends in Hospitalization for Mental Disorders A Reanalysis of National Data Current Trends in the Annual Number of Inpatient Psychiatric Episodes Episodic Rate of Mental Hospitalization Trends in Length of Stay Per Psychiatric Episode Trends in the Proportion of Total Hospital Days that are for Mental Health Care Nursing Homes and Deinstitutionalization Readmissions PART THREE Attempts To Treat the Hospitalized and Hospitalizable Alternative Treatment Noninstitutionalization Deinstitutionalization and the Problems of Subsequent Treatment, Chronicity, and the Homeless PART FOUR Problems with the Overall System National Expenditures for Mental Hospitalization The Medicare and Medicaid Programs Needs for New Knowledge Barriers to Effective Knowledge Acquisition and Use Summary and Conclusions

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