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Insurance for Mental HealthA Viewpoint on Its Scope
Charlotte Muller, PhD;
Mark Schoenberg, MD
Arch Gen Psychiatry. 1974;31(6):871-878.
Abstract
Insurance, although important as a finance source for certain subsets of mental health services, plays a restricted role in the financing of their aggregate costs and the delivery of care to low-income groups identified as having unmet needs. The present level of insurance reflects the location of initiative and leverage within the health care market and the trade-off of economic interests involving professionals, consumers, carriers, and employers.
Various methods of cost control, a prerequisite in any insurance program, differ as to expected mechanisms of action, side effects, and power. A consumer-oriented insurance system must deal with problems of quality control related to competing conceptual models governing therapy today. A comprehensive health care system would facilitate improvement of mental health insurance.
Author Affiliations
From the Center for Social Research Graduate Center, City University of New York (Dr. Muller); and the Department of Psychiatry, Community Mental Health Services, Roosevelt Hospital, and the Department of Clinical Psychiatry, Columbia University, New York (Dr. Schoenberg).
Footnotes
Accepted for publication June 6, 1974.
Read in part before the 50th anniversary meeting of the American Orthopsychiatric Association and joint meeting with the Mental Health Section of the American Public Health Association, New York, May 30, 1973.
Reprint requests to the Center for Social Research Graduate Center, City University of New York, 33 W 42nd St, New York, NY 10036 (Dr. Muller).
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