OHA's Health Economics and Policy team is committed to partnering, working and supporting specific health care policy initiatives and programs to ensure a sustainable and quality health care system in Ohio.
One out of five people in America has a mental illness, so that’s more than two million Ohioans, yet less than one-third of affected adults and one-half of children receive treatment. Mental illness is second only to cardiovascular disease in regard to burden (i.e., years of life lost to premature death or disability). The cost of leaving mental illnesses untreated is immense; however, issues of mental health and wellness are erupting in every arena. The impact is felt in all areas of Ohio’s economy and society.
Since the mid-1960s, Mental Illness and Substance Use Disorder (MI/SUD) care has moved away from a system characterized by treatment in state-owned facilities to one driven by market forces.
Although many MI/SUDs can be treated successfully in ambulatory care settings, inpatient treatment continues to be a key component of M/SUD care. Innovations in services and treatment, creation of Medicare and Medicaid programs, progress toward achieving parity in private insurance coverage and competition within an increasingly specialized workforce have all contributed to changes in hospital care for patients with M/SUDs.
Often, the first point of contact for persons with acutely ill with mental and substance use disease is the hospital emergency department.
Patients admitted for other physical conditions often present with co-occurring behavioral and substance use issues that should be factored in to treatment planning in order to deliver optimum outcomes (restoration of health, treatment compliance, reduced readmissions, etc.).
Inpatient Psychiatric Service Provider Licensure
The Ohio Department of Mental Health and Addiction Services licenses Inpatient Psychiatric Service Providers that provide acute inpatient mental health services. Private psychiatric units/hospitals are licensed annually. There are 83 licensed private inpatient psychiatric service providers in Ohio with 2,973 beds. Some units specialize in the care they provide by age group: child, adolescent, adult, or geriatric care.
Behavioral Health Redesign
The State Fiscal Year 2016-1017 budget implements a redesign of Medicaid behavioral health benefits. Led by the Governor’s Office for Health Transformation (OHT), in collaboration with the Ohio Department of Mental Health and Addiction Services (OhioMHAS) and the Ohio Department of Medicaid (ODM), key aspects of the redesign include:
Aligning Medicaid behavioral health services with national coding standards,
Developing new services for people with high intensity service and support needs and disaggregating certain existing services to provide for lower acuity service coordination and support services, and
Moving the Medicaid behavioral health benefit to Medicaid managed care.
The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA's mission is to reduce the impact of substance abuse and mental illness on America's communities.