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Mental Illness, Chemical Dependency, and Medical Expenditures

By: Porter, Doug | Policy & Practice, March 2008 | Article details

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Mental Illness, Chemical Dependency, and Medical Expenditures


Porter, Doug, Policy & Practice


In most state Medicaid programs, 5 percent of the patients are responsible for 50 percent of the expenditures. But in Washington state, we're looking at different numbers. Medical assistance clients with a combination of chronic medical conditions, mental health and substance abuse issues consume more units of care at higher unit costs.

* Up to 20 percent of the most expensive medical assistance that the population needs is for alcoholsubstance abuse treatment, yet only 6 percent of them get it.

* One-third of the age 5 to 50 population has mental health issues, and 13 percent of them have substance abuse and alcohol issues.

* Treatment of depression, schizophrenia …

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