Abstract
The author suggests that family expenditures are a significant factor in the overall system of care and should be included in economic analyses of mental health services. Data indicate that family contribution should be viewed as a resource and may be serving as a substitute for resources from the formal mental health system. Suggestions for policy are presented that support the concept of “shared responsibility” between the family and the formal system.
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References
Cannon, N. (1985). A cost effectiveness analysis of a controlled experiment comparing treatment alternatives for chronically mentally ill patients. Doctoral dissertation, Brandeis University, Waltham, MA.
Creer, C., & Wing, J. (1975). Living with a schizophrenic patient.British Journal of Hospital Medicine, 14, 73–82.
Dickey, B., Binner, P.R., Leff, S., Uyeda, M., Schlesinger, M.J., & Gudeman, J.E. (1989). Containing mental health treatment costs through program design: A Massachusetts study.American Journal of Public Health, 79, 863–867.
Doll, W. (1976). Family coping with the mentally ill: An unanticipated problem of deinstitutionalization.Hospital and Community Psychiatry, 27(3).
Fein, R. (1958).Economics of mental health. New York: Basic Books.
Fenton, R.F., Tessier, L., & Struening, E.L. (1979). A Comparative trial of home and hospital psychiatric care: A one year follow-up.Archives of General Psychiatry, 36, 1073–1079.
Franks, D.D. (1987). The high cost of caring: Economic contribution of families to the care of the mentally ill. Unpublished doctoral dissertation, Brandeis University, Waltham, MA.
Freedman, R.I., & Moran, A.M. (1984). Wanderers in a promised land: The chronically mentally ill and deinstitutionalization.Medical Care, 22, Supplement.
Grad, J., & Sainsbury, P. (1963). Mental illness and the family.Lancet, 1, 544–547.
Gunderson, J.G., Mosher, L.R. (1975). The cost of schizophrenia.American Journal of Psychiatry, 132, 901–906.
Hatfield, A.B. (1978). Psychological costs of schizophrenia to the family.Social Work, 355–359.
Hoenig, J., & Hamilton, M. (1966). The schizophrenic patient in the community and his effect on the household.International Journal of Social Psychiatry, 12, 165–176.
Herz, M.I., Endicott, J., & Spitzer, R.L. (1976). Brief versus standard hospitalization: The families.American Journal of Psychiatry, 133, 795–801.
Lipsey, R.G., & Steiner, P.O. (1983).Economics (6th ed.). New York: Harper and Row.
Litwak, E. (1985).Helping the elderly: The complementary roles of informal networks and formal systems. New York: Guilford Press.
McCaffree, K.M. (1966). The cost of mental health care under changing treatment methods.Hospital and Community Psychiatry, 27, 165–170.
McGuire, T.G., & Weisbrod, B. (1981).Economics and mental health (DHHS Publication No. ADM 81-1114). Washington, DC: U.S. Government Printing Office.
Moroney, R. (1976).The family and the state: Considerations for social policy. New York: Longman.
Moroney, R. (1980).Families, social services, and social policy: The issue of shared responsibility (DHHS Publication No. ADM 80-846). Washington, DC: U.S. Government Printing Office.
Moroney, R. (1983). Families, care of the handicapped, and public policy. In R. Perlman (Ed.),Family home care: Critical issues for services and policies. New York: Haworth Press.
Muller, C.F., & Caton, C.L. (1983). Economic costs of schizophrenia: A postdischarge study.Medical Care, 21, 92–104.
Murphy, M.A., & Datel, W.E. (1976). A cost-benefit analysis of community versus institutional living.Hospital and Community Psychiatry, 27(3).
Reynolds, I., & Hoult, J.E. (1984). The relatives of the mentally ill: A comparative trial of communityoriented and hospital-oriented psychiatric care.Journal of Nervous and Mental Disorders, 172, 480–489.
Sharfstein, S., & Nafzinger, J.C. (1979). Community care: Costs and benefits for a chronic patients.Hospital and Community Psychiatry, 27, 170–173.
Thompson, E.H., Jr., & Doll, W. (1982). The burden of families coping with the mentally ill: An invisible crisis.Family Relations, 31, 379–388.
Weisbrod, B.A. (1983). A guide to benefit cost analysis as seen through a controlled experiment in treating the mentally ill.Journal of Health, Politics, Policy, and Law, Winter.
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Franks, D.D. Economic contribution of families caring for persons with severe and persistent mental illness. Adm Policy Ment Health 18, 9–18 (1990). https://doi.org/10.1007/BF00706488
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DOI: https://doi.org/10.1007/BF00706488