关键词：心理健康治疗；药物滥用治疗；流行病学；医药
摘 要：In 2005, mental health (MH) and substance abuse (SA) treatment spending totaled $135 billion, representing 7.3 percent of all-health spending. About 84 percent of all MHSA spending went for the treatment of mental illness and 16 percent for the treatment of substance use disorders. MH and SA treatment spending growth lagged behind growth in all-health spending between 1986 and 2005 (7.9 percent average annual all-health spending growth rate compared to 6.9 percent for MH spending and 4.8 percent for SA spending). These national estimates summarize spending trends across all States and the District of Columbia and meld together the rich diversity in behavioral health treatment spending patterns among the States. However, understanding that diversity could be useful to stakeholders seeking the best way to deliver and finance MHSA treatment. In recognition of the potential value of State-specific spending information, the Substance Abuse and Mental Health Services Administration (SAMHSA) MHSA Treatment Spending Estimates were recently expanded from nationwide to State-specific estimates. They are reported here for the first time. Because they use consistent definitions and data sources, they offer SAMHSA, policymakers, and other stakeholders a comprehensive, uniform, and reproducible view of spending across all States. State-level estimates allow for inter-State comparisons of MHSA spending levels. They also allow for intra-State analyses of State-level MHSA spending within the context of overall health spending as well as examinations of the allocation of spending by provider type. Further, the State-level estimates can serve as a baseline for determining the impact of new policies or emerging economic conditions. Finally, State-level estimates can be coupled with other information from each State, such as data on treatment need, economics, demographics, or provider availability, in order to provide insight into the causes and consequences of different spending levels.