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Table 19.8b. Amount, percent distribution, and rate per capita1 of
expenditures in constant dollars (1969 = 100)2, by type of mental health
organization: United States, selected years, 1969–20023
|
Type of organization
|
1969
|
1975
|
1979
|
1986
|
1990
|
1992
|
1994
|
1998
|
2000
|
2002
|
|
|
Expenditure in thousands of dollars
|
|
All organizations
|
3,292,563
|
4,414,465
|
4,145,598
|
4,828,079
|
5,566,274
|
4,995,003
|
5,010,045
|
5,080,777
|
4,223,596
|
3,911,259
|
|
State and county mental hospitals
|
1,814,101
|
2,141,929
|
1,777,083
|
1,654,681
|
1,523,214
|
1,337,500
|
1,183,045
|
938,919
|
915,560
|
868,472
|
|
Private psychiatric hospitals
|
220,026
|
313,867
|
351,484
|
687,682
|
1,195,349
|
889,737
|
977,953
|
541,654
|
475,249
|
448,045
|
|
Non-Federal general hospitals with separate psychiatric services
|
298,000
|
417,810
|
341,943
|
752,744
|
913,318
|
871,452
|
808,011
|
737,392
|
715,909
|
590,531
|
|
VA medical centers3
|
450,000
|
470,092
|
401,357
|
349,972
|
289,985
|
256,712
|
209,588
|
222,899
|
119,355
|
116,070
|
|
Federally funded community mental health centers
|
143,491
|
521,574
|
700,516
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
Residential treatment centers for emotionally disturbed children
|
122,711
|
187,592
|
206,360
|
255,720
|
385,831
|
363,706
|
356,874
|
469,255
|
462,455
|
512,667
|
|
All other mental health organizations4
|
244,234
|
361,601
|
366,855
|
1,127,280
|
1,258,577
|
1,275,896
|
1,474,574
|
2,170,657
|
1,535,068
|
1,375,474
|
|
|
Percent distribution of expenditures
|
|
All organizations
|
100.0
|
100.0
|
100.0
|
100.0
|
100.0
|
100.0
|
100.0
|
100.0
|
100.0
|
100.0
|
|
State and county mental hospitals
|
55.1
|
48.5
|
42.9
|
34.3
|
27.4
|
26.8
|
23.6
|
18.5
|
21.7
|
22.2
|
|
Private psychiatric hospitals
|
6.7
|
7.1
|
8.5
|
14..2
|
21.5
|
17.8
|
19.5
|
10.7
|
11.3
|
11.5
|
|
Non-Federal general hospitals with separate psychiatric services
|
9.1
|
9.5
|
8.2
|
15.6
|
16.4
|
17.4
|
16.1
|
14.5
|
17.0
|
15.1
|
|
VA medical centers3
|
13.7
|
10.6
|
9.7
|
7.2
|
5.2
|
5.1
|
4.2
|
4.4
|
2.8
|
3.0
|
|
Federally funded community mental health centers
|
4.4
|
11.8
|
16.9
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
Residential treatment centers for emotionally disturbed children
|
3.7
|
4.2
|
5.0
|
5.3
|
6.9
|
7.3
|
7.1
|
9.2
|
11.0
|
13.1
|
|
All other mental health organizations4
|
7.4
|
8.2
|
8.8
|
23.3
|
22.6
|
25.5
|
29.4
|
42.7
|
36.4
|
35.2
|
|
|
Expenditures per capita civilian population
|
|
All organizations
|
16.53
|
20.88
|
19.37
|
20.15
|
22.81
|
19.83
|
19.33
|
18.88
|
14.97
|
13.56
|
|
State and county mental hospitals
|
9.11
|
10.13
|
7.98
|
6.90
|
6.24
|
5.31
|
4.56
|
3.49
|
3.25
|
3.01
|
|
Private psychiatric hospitals
|
1.10
|
1.48
|
1.58
|
2.87
|
4.90
|
3.53
|
3.77
|
2.01
|
1.68
|
1.55
|
|
Non-Federal general hospitals with separate psychiatric services
|
1.50
|
1.98
|
1.89
|
3.14
|
3.74
|
3.46
|
3.12
|
2.74
|
2.54
|
2.05
|
|
VA medical centers3
|
2.26
|
2.22
|
2.21
|
1.46
|
1.19
|
1.02
|
0.81
|
0.83
|
0.42
|
0.40
|
|
Federally funded community mental health centers
|
0.72
|
2.47
|
3.14
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
Residential treatment centers for emotionally disturbed children
|
0.62
|
0.89
|
0.92
|
1.07
|
1.58
|
1.44
|
1.38
|
1.74
|
1.64
|
1.78
|
|
All other mental health organizations4
|
1.22
|
1.71
|
1.65
|
4.71
|
5.46
|
5.07
|
5.69
|
8.07
|
5.44
|
4.77
|
Sources: Published and unpublished inventory data from the Survey
and Analysis branch, Division of State and Community Systems Development, Center
for Mental Health Services.
1 The population used in the calculation of these rates is the January 1
civilian population of the United States for each year through 1998. The rates
for 2000 and 2002 are based on the July 1 civilian population.
2 Based on the medical care component of the consumer price index (1969
= 100). Indices for other years are 1975 (148.7), 1979 (211.4), 1986 (382.3),
1988 (434.5), 1992 (595.9), and 1994 (661.4). By 1998, consumer price indices
were no longer calculated by the Bureau of Labor Statistics. The 1998 index number
was calculated by dividing the 1998 medical care annual average Consumer Price
Index (CPI) for all U.S. cities in the current series (1983–84 = 100) by
the annual average for 1969 in the same series (242.1/31.9 = 7.58 x 100). For
2000 the calculation was 260.8/31.9 = 8.175 x 100. For 2002 the calculation was
8.175 + (8.175 -7.58) = 8.77 x 100.
3 Some organizations were reclassified as a result of changes in reporting
procedures and definitions. For 1979–80, comparable data were not available
for certain organization types and data for either an earlier or later period
were substituted. These factors influence the comparability of 1980–98 data
with data of earlier years.
4 Includes VA neuropsychiatry hospitals, VA general hospital psychiatric
services, and VA psychiatric outpatient clinics.
5 Includes freestanding psychiatric outpatient clinics, partial care organizations,
and multiservice mental health organizations. Multiservice mental health organizations
were redefined in 1984.
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