The impact of integrating mental and general health services on mental health's share of total health care spending in Alberta

Ray Block, Mel Slomp, Sandy Patterson, Phllip Jacobs, Arto E. Ohinmaa, Rita Yim, Carolyn S Dewa

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: In April 2003 the Alberta government integrated specialized mental health services, formerly organized independently, with the health regions, which are responsible for general health services. The objective of this article is to determine whether the transfer was associated with an increase or decrease in the share of resources in the region allocated to mental health care relative to total spending for health care. Methods: The measure of the share for mental health care is the total costs for mental health care resources as a percentage of total health care spending. Resources and spending examined were those that were actually or potentially under the regions' control. Annual costs for mental health services in the province were obtained for a seven-year period (fiscal year [FY] 2000 through FY 2006) from provincial utilization records for all residents in the province. Unit costs were assigned to each visit. The trend in the share measure was plotted for each year. Results: The share for mental health care increased overall from FY 2000 (7.6%) to FY 2003 (8.2%), but returned to pre-FY 2003 levels in the three years after the transfer (7.6%). Conclusions: Despite concerns expressed before the transfer by federal and provincial reports over the level of expenditures devoted to mental health care, the integration of mental health services with other health services did not result in an increase of the share for mental health care.

Original languageEnglish (US)
Pages (from-to)860-863
Number of pages4
JournalPsychiatric Services
Volume59
Issue number8
DOIs
StatePublished - Aug 2008
Externally publishedYes

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Alberta
Mental Health Services
Mental Health
health service
mental health
health care
Delivery of Health Care
Costs and Cost Analysis
Health Services
costs
resources
Health Resources
Health Expenditures
expenditures
utilization
resident
Health

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

The impact of integrating mental and general health services on mental health's share of total health care spending in Alberta. / Block, Ray; Slomp, Mel; Patterson, Sandy; Jacobs, Phllip; Ohinmaa, Arto E.; Yim, Rita; Dewa, Carolyn S.

In: Psychiatric Services, Vol. 59, No. 8, 08.2008, p. 860-863.

Research output: Contribution to journalArticle

Block, Ray ; Slomp, Mel ; Patterson, Sandy ; Jacobs, Phllip ; Ohinmaa, Arto E. ; Yim, Rita ; Dewa, Carolyn S. / The impact of integrating mental and general health services on mental health's share of total health care spending in Alberta. In: Psychiatric Services. 2008 ; Vol. 59, No. 8. pp. 860-863.
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