Rupp A
National Institute of Mental Health, Rockville, MD 20857.
Schizophr Bull. 1991;17(3):401-5. doi: 10.1093/schbul/17.3.401.
Mental health care for the severely mentally ill in the United States is financed by a combination of public and private funds. Both public and private health insurance programs handle mental illness differently than they do other illnesses. This article documents uninsurance and underinsurance for severe mental illness in the United States based on studies conducted during the last decade. The relationship between private insurance and public assistance is analyzed, and major arguments around equality in insurance coverage for severe mental illness are examined. Alternatives for reducing uninsurance and underinsurance for severe mental illness in order to avoid undertreatment are discussed.
美国为重症精神病患者提供的心理健康护理由公共和私人资金共同资助。公共和私人医疗保险计划对精神疾病的处理方式与其他疾病不同。本文基于过去十年进行的研究，记录了美国重症精神疾病患者的未参保和保险不足情况。分析了私人保险与公共援助之间的关系，并审视了围绕重症精神疾病保险覆盖平等性的主要争议点。还讨论了减少重症精神疾病未参保和保险不足情况以避免治疗不足的替代方案。
