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Health Serv Res. 1988 February; 22(6): 837–855.
PMCID: PMC1065478

Mental health services system research: the National Institute of Mental Health program.


There is a critical need for research to examine the changing mental health services system, to evaluate major innovations in the provision of mental health treatment, and to remove existing barriers to comprehensive and cost-effective care. To achieve these aims, collaboration is needed among government agencies, mental health services programs, academic institutions, and the private sector. The National Institute of Mental Health supports research and research training on the mental health services system primarily through the Division of Biometry and Applied Sciences. This article focuses on the division's three priority research areas of the mental health services system: the provision of mental health care in the primary care sector, the organization and delivery of care for the chronically mentally ill, and financing and reimbursement of care. The various mechanisms of research support are also highlighted.

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Selected References

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  • Luft HS, Robinson JC, Garnick DW, Hughes RG, McPhee SJ, Hunt SS, Showstack J. Hospital behavior in a local market context. Med Care Rev. 1986 Fall;43(2):217–251. [PubMed]
  • Regier DA, Goldberg ID, Taube CA. The de facto US mental health services system: a public health perspective. Arch Gen Psychiatry. 1978 Jun;35(6):685–693. [PubMed]
  • Shapiro S, Skinner EA, Kessler LG, Von Korff M, German PS, Tischler GL, Leaf PJ, Benham L, Cottler L, Regier DA. Utilization of health and mental health services. Three Epidemiologic Catchment Area sites. Arch Gen Psychiatry. 1984 Oct;41(10):971–978. [PubMed]
  • Kessler LG, Burns BJ, Shapiro S, Tischler GL, George LK, Hough RL, Bodison D, Miller RH. Psychiatric diagnoses of medical service users: evidence from the Epidemiologic Catchment Area Program. Am J Public Health. 1987 Jan;77(1):18–24. [PubMed]
  • Goldman HH, Burns BJ, Burke JD., Jr Integrating primary health care and mental health services: a preliminary report. Public Health Rep. 1980 Nov-Dec;95(6):535–539. [PMC free article] [PubMed]
  • Corney RH. Factors affecting the operation and success of social work attachment schemes to general practice. J R Coll Gen Pract. 1980 Mar;30(212):149–157. [PMC free article] [PubMed]
  • Linn LS, Yager J. The effect of screening, sensitization, and feedback on notation of depression. J Med Educ. 1980 Nov;55(11):942–949. [PubMed]
  • Harding TW, de Arango MV, Baltazar J, Climent CE, Ibrahim HH, Ladrido-Ignacio L, Murthy RS, Wig NN. Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries. Psychol Med. 1980 May;10(2):231–241. [PubMed]
  • German PS, Shapiro S, Skinner EA, Von Korff M, Klein LE, Turner RW, Teitelbaum ML, Burke J, Burns BJ. Detection and management of mental health problems of older patients by primary care providers. JAMA. 1987 Jan 23;257(4):489–493. [PubMed]
  • Von Korff M, Shapiro S, Burke JD, Teitlebaum M, Skinner EA, German P, Turner RW, Klein L, Burns B. Anxiety and depression in a primary care clinic. Comparison of Diagnostic Interview Schedule, General Health Questionnaire, and practitioner assessments. Arch Gen Psychiatry. 1987 Feb;44(2):152–156. [PubMed]
  • Burns BJ, Burke JD., Jr Improving mental health practices in primary care: findings from recent research. Public Health Rep. 1985 May-Jun;100(3):294–300. [PMC free article] [PubMed]
  • Marks JN, Goldberg DP, Hillier VF. Determinants of the ability of general practitioners to detect psychiatric illness. Psychol Med. 1979 May;9(2):337–353. [PubMed]
  • Jencks SF. Recognition of mental distress and diagnosis of mental disorder in primary care. JAMA. 1985 Apr 5;253(13):1903–1907. [PubMed]
  • Keller MB, Shapiro RW, Lavori PW, Wolfe N. Recovery in major depressive disorder: analysis with the life table and regression models. Arch Gen Psychiatry. 1982 Aug;39(8):905–910. [PubMed]
  • Hankin JR, Locke BZ. The persistence of depressive symptomatology among prepaid group practice enrollees: an exploratory study. Am J Public Health. 1982 Sep;72(9):1000–1007. [PubMed]
  • Barrett JE, Hurst MW. Short-term symptom change in outpatient psychiatric disorders. Arch Gen Psychiatry. 1982 Jul;39(7):849–854. [PubMed]
  • Burns BJ, Scott JE, Burke JD, Jr, Kessler LG. Mental health training of primary care residents: a review of recent literature (1974-1981). Gen Hosp Psychiatry. 1983 Sep;5(3):157–169. [PubMed]
  • Bachrach LL. The challenge of service planning for chronic mental patients. Community Ment Health J. 1986 Fall;22(3):170–174. [PubMed]
  • Hoult J, Reynolds I, Charbonneau-Powis M, Weekes P, Briggs J. Psychiatric hospital versus community treatment: the results of a randomised trial. Aust N Z J Psychiatry. 1983 Jun;17(2):160–167. [PubMed]
  • Aiken LH, Somers SA, Shore MF. Private foundations in health affairs. A case study of the development of a national initiative for the chronically mentally ill. Am Psychol. 1986 Nov;41(11):1290–1295. [PubMed]
  • Frank RG, Kamlet MS. Direct costs and expenditures for mental health care in the United States in 1980. Hosp Community Psychiatry. 1985 Feb;36(2):165–168. [PubMed]
  • Goldman HH, Runck B. NIMH report. Social Security Administration revises mental disability rules. Hosp Community Psychiatry. 1985 Apr;36(4):343–345. [PubMed]
  • Jencks SF, Kay T. Do frail, disabled, poor, and very old Medicare beneficiaries have higher hospital charges? JAMA. 1987 Jan 9;257(2):198–202. [PubMed]
  • Mitchell JB, Cromwell J. Medicaid participation by psychiatrists in private practice. Am J Psychiatry. 1982 Jun;139(6):810–813. [PubMed]
  • Mumford E, Schlesinger HJ, Glass GV, Patrick C, Cuerdon T. A new look at evidence about reduced cost of medical utilization following mental health treatment. Am J Psychiatry. 1984 Oct;141(10):1145–1158. [PubMed]
  • Moltzen S, Gurevitz H, Rappaport M, Goldman HH. The psychiatric health facility: an alternative for acute inpatient treatment in a nonhospital setting. Hosp Community Psychiatry. 1986 Nov;37(11):1131–1135. [PubMed]
  • Jencks SF, Goldman HH, McGuire TG. Challenges in bringing exempt psychiatric services under a prospective payment system. Hosp Community Psychiatry. 1985 Jul;36(7):764–769. [PubMed]
  • Taube CA, Burns BJ, Kessler L. Patients of psychiatrists and psychologists in office-based practice: 1980. Am Psychol. 1984 Dec;39(12):1435–1447. [PubMed]
  • Gronfein W. Incentives and intentions in mental health policy: a comparison of the Medicaid and community mental health programs. J Health Soc Behav. 1985 Sep;26(3):192–206. [PubMed]
  • Frank RG, McGuire TG. A review of studies of the impact of insurance on the demand and utilization of specialty mental health services. Health Serv Res. 1986 Jun;21(2 Pt 2):241–265. [PMC free article] [PubMed]
  • Manning WG, Jr, Wells KB, Duan N, Newhouse JP, Ware JE., Jr Cost sharing and the use of ambulatory mental health services. Am Psychol. 1984 Oct;39(10):1077–1089. [PubMed]
  • Schlesinger M. On the limits of expanding health care reform: chronic care in prepaid settings. Milbank Q. 1986;64(2):189–215. [PubMed]
  • Frank RG, Lave JR. The impact of Medicaid benefit design on length of hospital stay and patient transfers. Hosp Community Psychiatry. 1985 Jul;36(7):749–753. [PubMed]
  • Rupp A, Steinwachs DM, Salkever DS. The effect of hospital payment methods on the pattern and cost of mental health care. Hosp Community Psychiatry. 1984 May;35(5):456–459. [PubMed]
  • Robinson JC, Luft HS. The impact of hospital market structure on patient volume, average length of stay, and the cost of care. J Health Econ. 1985 Dec;4(4):333–356. [PubMed]
  • Jencks SF, Dobson A. Strategies for reforming Medicare's physician payments. Physician diagnosis-related groups and other approaches. N Engl J Med. 1985 Jun 6;312(23):1492–1499. [PubMed]
  • Feder J, Hadley J, Mullner R. Falling through the cracks: poverty, insurance coverage, and hospital care for the poor, 1980 and 1982. Milbank Mem Fund Q Health Soc. 1984 Fall;62(4):544–566. [PubMed]
  • Lehman AF. Capitation payment and mental health care: a review of the opportunities and risks. Hosp Community Psychiatry. 1987 Jan;38(1):31–38. [PubMed]
  • Dorwart RA, Schlesinger M, Pulice RT. The promise and pitfalls of purchase-of-service contracts. Hosp Community Psychiatry. 1986 Sep;37(9):875–878. [PubMed]

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