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Adequacy of treatment for serious mental illness in the United States

Author

Listed:
  • Wang, P.S.
  • Demler, O.
  • Kessler, R.C.

Abstract

Objectives. The purpose of this study was to assess the prevalence and correlates of treatment for serious mental illness. Methods. Data were derived from the National Comorbidity Survey, a cross-sectional, nationally representative household survey assessing the presence and correlates of mental disorders and treatments. Crude and adjusted likelihoods of receiving treatment for serious mental illness in the previous 12 months were calculated. Results. Forty percent of respondents with serious mental illness had received treatment in the previous year. Of those receiving treatment, 38.9% received care that could be considered at least minimally adequate, resulting in 15.3% of all respondents with serious mental illness receiving minimally adequate treatment. Predictors of not receiving minimally adequate treatment included being a young adult or an African American, residing in the South, being diagnosed as having a psychotic disorder, and being treated in the general medical sector. Conclusions. Inadequate treatment of serious mental illness is an enormous public health problem. Public policies and cost-effective interventions are needed to improve both access to treatment and quality of treatment.

Suggested Citation

  • Wang, P.S. & Demler, O. & Kessler, R.C., 2002. "Adequacy of treatment for serious mental illness in the United States," American Journal of Public Health, American Public Health Association, vol. 92(1), pages 92-98.
    • Handle: RePEc:aph:ajpbhl:2002:92:1:92-98_5
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    Cited by:

    1. Judith A. Cook & Jane K. Burke-Miller, "undated". "Course of Mental Illness and Role of Multiple Health Conditions Among People Under Age 50 in Predicting Change in Public Disability Benefit Status and Labor Force Participation," Mathematica Policy Research Reports a6bfbae9dff1412580c9eb8ef, Mathematica Policy Research.
    2. Cummings, Janet R. & Zhang, Xinyue & Gandré, Coralie & Morsella, Alisha & Shields-Zeeman, Laura & Winkelmann, Juliane & Allin, Sara & Augusto, Gonçalo Figueiredo & Cascini, Fidelia & Cserháti, Zoltán , 2023. "Challenges facing mental health systems arising from the COVID-19 pandemic: Evidence from 14 European and North American countries," Health Policy, Elsevier, vol. 136(C).
    3. repec:mpr:mprres:6707 is not listed on IDEAS
    4. Yonatan Ben-Shalom & Jennifer Christian & David Stapleton, "undated". "Reducing Job Loss among Workers with New Health Problems," Mathematica Policy Research Reports e8f7e58238e94e5089a6ae227, Mathematica Policy Research.
    5. Sanja Krvavac & Billy Jansson & Ida Rashida Khan Bukholm & Rolf Wynn & Martin Bystad, 2022. "Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway," IJERPH, MDPI, vol. 19(17), pages 1-11, August.
    6. Chatterji, Pinka & Alegria, Margarita & Takeuchi, David, 2011. "Psychiatric disorders and labor market outcomes: Evidence from the National Comorbidity Survey-Replication," Journal of Health Economics, Elsevier, vol. 30(5), pages 858-868.
    7. Steven Stern, 2011. "Estimating Local Prevalence of Mental Health Problems," Virginia Economics Online Papers 396, University of Virginia, Department of Economics.
    8. Solomon, Keisha T. & Dasgupta, Kabir, 2022. "State mental health insurance parity laws and college educational outcomes," Journal of Health Economics, Elsevier, vol. 86(C).
    9. Matthew Lang, 2013. "The Impact Of Mental Health Insurance Laws On State Suicide Rates," Health Economics, John Wiley & Sons, Ltd., vol. 22(1), pages 73-88, January.
    10. Marie-Josée Fleury & Zhirong Cao & Guy Grenier & Christophe Huỳnh, 2022. "Predictors of Frequent Emergency Department Use and Hospitalization among Patients with Substance-Related Disorders Recruited in Addiction Treatment Centers," IJERPH, MDPI, vol. 19(11), pages 1-16, May.
    11. Follmer, Kayla B. & Follmer, D. Jake, 2021. "Longitudinal relations between workplace mistreatment and engagement – The role of suicidal ideation among employees with mood disorders," Organizational Behavior and Human Decision Processes, Elsevier, vol. 162(C), pages 206-217.

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