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Living with the mentally ill: Effects on the health and functioning of other household members

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  • Gallagher, Sally K.
  • Mechanic, David

Abstract

Based on data from the National Health Interview Survey Mental Health Supplement, 1989 (NCHS, 1991), this article compares health outcomes for respondents living with someone who is mentally ill (N = 776) with a randomly selected subsample of respondents not living with someone identified as mentally ill (N = 716). When other predictors of health are controlled, sharing a household with a mentally ill person is associated with poorer self-reported physical health, increased risk of reporting some activity limitation, and increased service utilization--both greater risk of hospitalization or visiting a physician, and a greater number of days hospitalized and number of physician visits among those utilizing these services. The severity and duration of mental illness have little effect across health outcome measures. Impaired health and increased utilization of medical care among persons living with someone who is mentally ill suggest hidden costs to individuals, to families of the mentally ill, and to the service system.

Suggested Citation

  • Gallagher, Sally K. & Mechanic, David, 1996. "Living with the mentally ill: Effects on the health and functioning of other household members," Social Science & Medicine, Elsevier, vol. 42(12), pages 1691-1701, June.
    • Handle: RePEc:eee:socmed:v:42:y:1996:i:12:p:1691-1701
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    Citations

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    Cited by:

    1. Diana Pacheco Barzallo, 2018. "Spillover Effects of Long-Term Disabilities on Close Family Members," Applied Health Economics and Health Policy, Springer, vol. 16(3), pages 347-355, June.
    2. Hareth Al-Janabi & Job van Exel & Werner Brouwer & Joanna Coast, 2016. "A Framework for Including Family Health Spillovers in Economic Evaluation," Medical Decision Making, , vol. 36(2), pages 176-186, February.
    3. Trang Nguyen & Tuan Tran & Sally Green & Arthur Hsueh & Thach Tran & Ha Tran & Jane Fisher, 2020. "Proof of concept of participant informed, psycho-educational, community-based intervention for people with severe mental illness in rural Vietnam," International Journal of Social Psychiatry, , vol. 66(3), pages 232-239, May.
    4. Christopher Wildeman & Kristin Turney & Youngmin Yi, 2016. "Paternal Incarceration and Family Functioning," The ANNALS of the American Academy of Political and Social Science, , vol. 665(1), pages 80-97, May.
    5. Radhika Mohan & Mrinmoyi Kulkarni, 2018. "Resilience in Parents of Children with Intellectual Disabilities," Psychology and Developing Societies, , vol. 30(1), pages 19-43, March.
    6. Hareth Al‐Janabi & Job Van Exel & Werner Brouwer & Caroline Trotter & Linda Glennie & Laurie Hannigan & Joanna Coast, 2016. "Measuring Health Spillovers for Economic Evaluation: A Case Study in Meningitis," Health Economics, John Wiley & Sons, Ltd., vol. 25(12), pages 1529-1544, December.
    7. Bernard Berg & Werner Brouwer & Marc Koopmanschap, 2004. "Economic valuation of informal care," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 5(1), pages 36-45, February.
    8. M. Manjula & A. Raguram, 2009. "Self-Concept in Adult Children of Schizophrenic Parents: an Exploratory Study," International Journal of Social Psychiatry, , vol. 55(5), pages 471-479, September.
    9. Chiara Mussida & Raffaella Patimo, 2021. "Women’s Family Care Responsibilities, Employment and Health: A Tale of Two Countries," Journal of Family and Economic Issues, Springer, vol. 42(3), pages 489-507, September.
    10. Chiara Mussida & Raffaella Patimo, 2018. "Women’s care responsibilities, employment and health: a two countries’ tale," DISCE - Quaderni del Dipartimento di Scienze Economiche e Sociali dises141, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
    11. Hareth Al-Janabi & Terry Flynn & Joanna Coast, 2011. "QALYs and Carers," PharmacoEconomics, Springer, vol. 29(12), pages 1015-1023, December.

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