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Chartbook on Mental Health and Disability

Section 4: Access, utilization, and cost of services

Many resources, benefits, and services are available to address the needs of people with disability due to mental disorder and to reduce or eliminate barriers to full participation in school, work and other activities. Not all people with disability due to mental disorder, however, have access to services, treatment, and medication. The need for services and resources is apparent in the increases in demand for Social Security support, and in the use of Vocational Rehabilitation, Independent Living Centers, and nursing homes. The service system in general is not adequate to meet all the needs. This is reflected in the numbers of people with mental disorders who are homeless, and the extent to which both juveniles and adults receive services through prisons and jails rather than from mental health organizations. The shortfall in appropriate treatment and services results in lost productivity, lost lifetime earnings, and cost of care for people with mental disorders.

Topic Questions:

4.1. Does use of mental health services by people with mental health disability differ by age?

4.2. How many children and youth use mental health services?

4.3. Does level of education affect use of mental health services?

4.4. What percentage of people with serious mental illness receives minimally adequate treatment?

4.5. What percentage of people who receive Social Security disability benefits has a mental disorder?

4.6. Has the number and percentage of people receiving SSI for a mental disorder changed over time?

4.7. How many people with a primary disability of mental disorders are served by Vocational Rehabilitation?

4.8. What percentage of Independent Living Centers serves people with a primary disability of mental illness?

4.9. How many people in nursing homes have a mental disorder?

4.10 How many homeless people have disabilities due to mental disorders?

4.11 How many people with mental disorders are in correctional institutions?

4.12 What kinds of mental health services are provided in state prisons?

4.13 How many jails provide essential mental health services?

4.14 What kinds of mental health services are provided in the juvenile justice system?

4.15 How do mental disorders affect the U.S. economy?