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Table 19.8a. Amount, percent distribution, and rate per capita1 of expenditures
in current dollars, by type of mental health organization:
United States, selected years, 1969–20022
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Type of organization
|
1969
|
1975
|
1979
|
1986
|
1990
|
1992
|
1994
|
1998
|
2000
|
2002
|
|
|
Expenditure in thousands of dollars
|
|
All organizations
|
3,292,563
|
6,564,312
|
8,763,795
|
18,457,741
|
28,410,261
|
29,765,202
|
33,136,440
|
38,512,290
|
34,527,900
|
34,301,742
|
|
State and county mental hospitals
|
1,814,101
|
3,185,049
|
3,756,754
|
6,325,844
|
7,774,482
|
7,970,163
|
7,824,661
|
7,117,009
|
7,484,706
|
7,616,498
|
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Private psychiatric hospitals
|
220,026
|
466,720
|
743,037
|
2,629,009
|
6,101,063
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5,301,940
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6,468,184
|
4,105,741
|
3,885,158
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3,929,356
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Non-Federal general hospitals with separate psychiatric services
|
298,000
|
621,284
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722,868
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2,877,739
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4,661,574
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5,192,984
|
5,344,188
|
5,589,434
|
5,852,560
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5,178,958
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VA medical centers3
|
450,000
|
699,027
|
848,469
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1,337,943
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1,480,082
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1,529,745
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1,386,213
|
1,689,572
|
975,725
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1,017,936
|
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Federally funded community mental health centers
|
143,491
|
775,580
|
1,480,890
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
Residential treatment centers for emotionally disturbed children
|
122,711
|
278,950
|
436,246
|
977,616
|
1,969,283
|
2,167,324
|
2,360,363
|
3,556,955
|
3,780,572
|
4,496,090
|
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All other mental health organizations4
|
244,234
|
537,702
|
775,531
|
4,309,590
|
6,423,777
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7,603,066
|
9,752,831
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16,453,579
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12,549,180
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12,062,905
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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
|
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Private psychiatric hospitals
|
6.7
|
7.1
|
8.5
|
14..2
|
21.5
|
17.8
|
19.5
|
10.7
|
11.3
|
11.5
|
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Non-Federal general hospitals with separate psychiatric services
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9.1
|
9.5
|
8.2
|
15.6
|
16.4
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17.4
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16.1
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14.5
|
17.0
|
15.1
|
|
VA medical centers3
|
13.7
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10.6
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9.7
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7.2
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5.2
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5.1
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4.2
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4.4
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2.8
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3.0
|
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Federally funded community mental health centers
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4.4
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11.8
|
16.9
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—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
Residential treatment centers for emotionally disturbed children
|
3.7
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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
|
|
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Expenditures per capita civilian population
|
|
All organizations
|
16.53
|
31.05
|
39.61
|
77.10
|
116.39
|
116.69
|
127.86
|
143.13
|
122.39
|
118.95
|
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State and county mental hospitals
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9.11
|
15.06
|
16.86
|
26.43
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31.85
|
31.25
|
30.19
|
26.45
|
26.53
|
26.41
|
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Private psychiatric hospitals
|
1.10
|
2.21
|
3.34
|
10.98
|
24.99
|
20.78
|
24.96
|
15.26
|
13.77
|
13.63
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Non-Federal general hospitals with separate psychiatric services
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1.50
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2.94
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3.37
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12.02
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19.10
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20.36
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20.62
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20.77
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20.74
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17.96
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VA medical centers3
|
2.26
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3.31
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3.95
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5.59
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6.06
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6.00
|
5.35
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6.28
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3.46
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3.53
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Federally funded community mental health centers
|
0.72
|
3.67
|
6.65
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
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Residential treatment centers for emotionally disturbed children
|
0.62
|
1.32
|
1.96
|
4.08
|
8.07
|
8.50
|
9.11
|
13.22
|
13.40
|
15.59
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All other mental health organizations4
|
1.22
|
2.54
|
3.48
|
18.00
|
26.32
|
29.80
|
37.63
|
61.15
|
44.48
|
41.83
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Sources: Published and unpublished inventory data from the Survey
and Analysis Branch, Division of State and Community Systems Development, Center
for Mental Health Services. Sums of percentages or rates for institution types
might not equal 100 percent or the overall rate because of rounding.
1The 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. Data for 1969–92
are the summation of partial care and outpatient care additions. The 1994 survey
format was changed and partial care is now included with outpatient, and together
are called “less than 24-hour care.”
2Some 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 a later period
were substituted. These factors influence the comparability of 1980–98 data
with those of earlier years.
3Includes Department of Veterans Affairs (formerly Veterans Administration)
neuropsychiatric hospitals, VA general hospital psychiatric services, and VA psychiatric
outpatient clinics.
4Includes freestanding psychiatric outpatient clinics, partial care organizations,
and multiservice mental health organizations. Multiservice mental health organizations
were redefined in 1984.
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