One In Four Hospital Patients Is Admitted With Mental Health Or Substance Abuse Disorder

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Mental Health in USA

Almost one-fourth of all stays in U.S. community hospitals for patients age 18 and older - 7.6 million of nearly 32 million stays - involved depressive, bipolar, schizophrenia and other mental health disorders or substance use related disorders in 2004.

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This study presents the first documentation of the full impact of mental health and substance abuse disorders on U.S. community hospitals. According to the report, about 1.9 million of the 7.6 million stays were for patients who were hospitalized primarily because of a mental health or substance abuse problem. In the other 5.7 million stays, patients were admitted for another condition but they also were diagnosed as having a mental health or substance abuse disorder.

Nearly two-thirds of costs were billed to the government: Medicare covered nearly half of the stays, and 18 percent were billed to Medicaid. Roughly 8 percent of the patients were uninsured. Private insurers were billed for the balance. The study also found that one of every three stays of uninsured patients was related to a mental health or substance abuse disorder.

"Community hospitals play an important role in the treatment of people with mental health and substance abuse disorders," said AHRQ Director Carolyn M. Clancy, M.D.

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