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Underinsurance for severe mental illness.

A Rupp1

  • 1National Institute of Mental Health, Rockville, MD 20857.

Schizophrenia Bulletin
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

Many severely mentally ill individuals in the US face inadequate insurance coverage, leading to undertreatment. This analysis examines uninsurance and underinsurance issues, exploring solutions for better mental health care access.

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Mental Health Economics

Background:

  • Mental health care in the US relies on mixed public and private funding.
  • Insurance coverage for severe mental illness often differs from that for other medical conditions.
  • Significant gaps in insurance coverage persist for individuals with severe mental illness.

Purpose of the Study:

  • To document uninsurance and underinsurance rates for severe mental illness in the US over the past decade.
  • To analyze the interplay between private insurance and public assistance programs.
  • To examine arguments concerning equitable insurance coverage for severe mental illness.

Main Methods:

  • Literature review of studies from the last ten years.
  • Analysis of insurance coverage data for severe mental illness.

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  • Examination of policy arguments regarding mental health parity.

    • Main Results:

    • Evidence of widespread uninsurance and underinsurance among the severely mentally ill.
    • Disparities in coverage between public and private insurance plans.
    • Identification of key challenges in achieving equitable insurance access.

    Conclusions:

    • Uninsurance and underinsurance contribute to undertreatment of severe mental illness.
    • Policy interventions are needed to improve insurance coverage and access to care.
    • Addressing these coverage gaps is crucial for enhancing mental health outcomes.