Financing mental health and substance use disorder care within physical health: a look to the future

Psychiatr Clin North Am. 2008 Mar;31(1):11-25. doi: 10.1016/j.psc.2007.11.001.


After sharing several case examples of health care for patients who have mental health/substance use disorders (MH/SUDs) in the current health care environment, this article describes the advantages that would occur if assessment and treatment of MH/SUDs became a clinical, administrative, and financial part of physical health with common provider networks, the ability to combine service locations (integrated clinics and inpatient units), similar coding and billing procedures, and a single funding pool. Because transition to such a system is complicated, the article then describes several process changes that would be required for integrated service delivery to take place.

MeSH terms

  • Alcoholism / economics*
  • Alcoholism / rehabilitation
  • Comorbidity
  • Cooperative Behavior
  • Cost-Benefit Analysis / trends
  • Delivery of Health Care, Integrated / economics*
  • Delivery of Health Care, Integrated / trends
  • Female
  • Forecasting
  • Health Services Accessibility / economics
  • Health Services Accessibility / trends
  • Health Services Needs and Demand / economics
  • Health Services Needs and Demand / trends
  • Humans
  • Insurance Benefits / economics
  • Insurance Benefits / trends
  • Insurance, Health, Reimbursement / economics*
  • Insurance, Health, Reimbursement / trends
  • Insurance, Psychiatric / economics*
  • Insurance, Psychiatric / trends
  • Male
  • Mental Disorders / economics*
  • Mental Disorders / rehabilitation
  • Patient Care Team / economics
  • Patient Care Team / trends
  • Primary Health Care / economics
  • Primary Health Care / trends
  • Substance-Related Disorders / economics*
  • Substance-Related Disorders / rehabilitation
  • United States