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Privatization of psychiatric services.

R A Dorwart1, M Schlesinger

  • 1Harvard University Division of Health Policy Research and Education, John F. Kennedy School of Government, Cambridge, MA 02138.

The American Journal of Psychiatry
|May 1, 1988
PubMed
Summary

The privatization of mental health services has significantly increased, with private psychiatric hospitals now holding 35% of inpatient beds. This trend impacts public policy and psychiatric care.

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Area of Science:

  • Health Policy
  • Mental Health Services
  • Healthcare Management

Background:

  • Privatization is a significant trend in mental health policy.
  • The ownership of private psychiatric hospitals has seen substantial growth and change.
  • The proportion of nonfederal psychiatric inpatient beds in private facilities rose from under 10% in 1970 to 35% currently.

Purpose of the Study:

  • To provide an overview of mental health privatization.
  • To examine the reasons for and consequences of the growth in private psychiatric hospitals.
  • To assess the implications of privatization for psychiatry, public policy, and research.

Main Methods:

  • Analysis of trends in private psychiatric hospital ownership.
  • Examination of the proportion of inpatient beds in private facilities over time.
  • Distinguishing and assessing various aspects of privatization.

Main Results:

  • The share of nonfederal psychiatric inpatient beds in private facilities increased from <10% in 1970 to 35% currently.
  • Between 1970 and 1986, the proportion of beds under for-profit auspices grew from ~1% to 15% in the U.S.
  • Various aspects of privatization and their implications were examined.

Conclusions:

  • The growth of private psychiatric hospitals represents a major shift in mental health policy.
  • Understanding the drivers and outcomes of privatization is crucial for public policy and psychiatric practice.
  • Further research is needed to fully assess the implications of these changes.

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