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Section VI: National Mental Health Statistics
Table 8b. Amount, percent distribution, and rate per capita1 of expenditures
in constant dollars (1969 = 100)2, by type of mental health organization:
United States, selected years, 1969-20003
| Type of organization |
1969 |
1975 |
1979 |
1986 |
1990 |
1992 |
1994 |
1998 |
2000 |
| |
Expenditure in thousands
of dollars |
| All organizations |
3,292,563 |
4,414,465 |
4,145,598 |
4,828,079 |
5,566,274 |
4,995,003 |
5,010,045 |
5,080,777 |
4,032,560 |
| State and county mental hospitals |
1,814,101 |
2,141,929 |
1,777,083 |
1,654,681 |
1,523,214 |
1,337,500 |
1,183,045 |
938,919 |
823,465 |
| Private psychiatric hospitals |
220,026 |
313,867 |
351,484 |
687,682 |
1,195,349 |
889,737 |
977,953 |
541,654 |
445,563 |
| Non-Federal general hospitals with separate psychiatric services |
298,000 |
417,810 |
341,943 |
752,744 |
913,318 |
871,452 |
808,011 |
737,392 |
717,816 |
| VA medical centers4 |
450,000 |
470,092 |
401,357 |
349,972 |
289,985 |
256,712 |
209,588 |
222,899 |
141,817 |
| Federally funded community mental health centers |
143,491 |
521,574 |
700,516 |
- |
- |
- |
- |
- |
- |
| Residential treatment centers for emotionally disturbed children |
122,711 |
187,592 |
206,360 |
255,720 |
385,831 |
363,706 |
356,874 |
469,255 |
440,402 |
| All other mental organizations5 |
244,234 |
361,601 |
366,855 |
1,127,280 |
1,258,577 |
1,275,896 |
1,474,574 |
2,170,657 |
1,463,497 |
| |
Percent distribution of expenditures |
| All organizations |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
| State and county mental hospitals |
55.1 |
48.5 |
42.9 |
34.3 |
27.4 |
26.8 |
23.6 |
18.5 |
20.4 |
| Private psychiatric hospitals |
6.7 |
7.1 |
8.5 |
14.2 |
21.5 |
17.8 |
19.5 |
10.7 |
11.0 |
| Non-Federal general hospitals with separate psychiatric services |
9.1 |
9.5 |
8.2 |
15.6 |
16.4 |
17.4 |
16.1 |
14.5 |
17.8 |
| VA medical centers4 |
13.7 |
10.6 |
9.7 |
7.2 |
5.2 |
5.1 |
4.2 |
4.4 |
3.5 |
| Federally funded community mental health centers |
4.4 |
11.8 |
16.9 |
- |
- |
- |
- |
- |
- |
| Residential treatment centers for emotionally disturbed children |
3.7 |
4.2 |
5.0 |
5.3 |
6.9 |
7.3 |
7.1 |
9.2 |
10.9 |
| All other mental organizations5 |
7.4 |
8.2 |
8.8 |
23.3 |
22.6 |
25.5 |
29.4 |
42.7 |
36.3 |
| |
Expenditures per capita civilian
population |
| All organizations |
16.53 |
20.88 |
19.37 |
20.15 |
22.81 |
19.83 |
19.33 |
18.88 |
14.39 |
| State and county mental hospitals |
9.11 |
10.13 |
7.98 |
6.90 |
6.24 |
5.31 |
4.56 |
3.49 |
2.94 |
| Private psychiatric hospitals |
1.10 |
1.48 |
1.58 |
2.87 |
4.90 |
3.53 |
3.77 |
2.01 |
1.59 |
| Non-Federal general hospitals with separate psychiatric services |
1.50 |
1.98 |
1.89 |
3.14 |
3.74 |
3.46 |
3.12 |
2.74 |
2.56 |
| VA medical centers4 |
2.26 |
2.22 |
2.21 |
1.46 |
1.19 |
1.02 |
0.81 |
0.83 |
0.51 |
| Federally funded community mental health centers |
0.72 |
2.47 |
3.14 |
- |
- |
- |
- |
- |
- |
| Residential treatment centers for emotionally disturbed children |
0.62 |
0.89 |
0.92 |
1.07 |
1.58 |
1.44 |
1.38 |
1.74 |
1.57 |
| All other mental organizations5 |
1.22 |
1.71 |
1.65 |
4.71 |
5.16 |
5.07 |
5.69 |
8.07 |
5.22 |
Sources: Published and unpublished inventory data from the
Survey and Analysis branch, Division of State and Community Systems Development,
Center for Mental Health Services.
1 The population used
in the calculation of these rates is the January 1 civilian population of
the United States for each year through 1998. The rates for 2000 are based
on the decennial Census sample civilian population.
2 Based
on the medical care component of the consumer price index (1969=100). Indices
for other years are 1975 (148.7), 1979 (211.4), 1986 (382.3), 1988 (434.5),
1992 (595.9), and 1994 (661.4). By 1998, consumer price indices were no
longer calculated by the Bureau of Labor Statistics. The 1998 index number
was calculated by dividing the 1998 medical care annual average CPI for
all U.S. cities in the current series (1983-84 = 100) by the annual average
for 1969 in the same series (242.1/31.9 = 7.58 x 100). For 2000 the calculation
was 260.8/31.9=8.175 x 100.
3 Some organizations were reclassified
as a result of changes in reporting procedures and definitions. For 1979-80,
comparable data were not available for certain organization types and data
for either an earlier or later period were substituted. These factors influence
the comparability of 1980-98 data with data of earlier years.
4
Includes Department of Veterans Affairs (VA) neuropsychiatric hospitals,
VA general hospital psychiatric services, and VA psychiatric outpatient
clinics.
5 Includes freestanding psychiatric outpatient clinics,
partial care organizations, and multiservice mental health organizations.
Multiservice mental health organizations were redefined in 1984. |
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