Mental Health Insurance, Parity & Public Policy Richard Scheffler, Ph.D., Distinguished Professor of Health Economics and Public Policy at UC Berkeley Mental Health & Public Policy Symposium January 12, 2002

Nobel Prize in Economics Awarded to Schizophrenic

January 12, Overview National and International Reports of Mental Health National and International Reports of Mental Health The Impact of Managed Care on Mental Health Services The Impact of Managed Care on Mental Health Services Mental Health Parity and Study of States Mental Health Parity and Study of States Introduction of Panel Speakers Introduction of Panel Speakers

January 12, National and International Reports on Mental Health Mental Health Needs Mental Health Needs –The World Health Report 2001 –Surgeon General’s Report 1999 –David Mechanic 2001 Mental Health Services Mental Health Services –Ronald Kessler et al 2001 –McAlphine and Mechanic 2000 –Surgeon General’s Report 2001

January 12, The Impact of Managed Care on Mental Health Services What is managed mental health care? What is managed mental health care? Growth of managed mental health care in 1990s Growth of managed mental health care in 1990s Advantages and disadvantages to managed care in mental health Advantages and disadvantages to managed care in mental health

January 12, Mental Health Parity What is mental health parity? What is mental health parity? Mental Health Parity Act of 1996 Mental Health Parity Act of 1996 Recent failure of Mental Health Parity Bill in House of Representatives due to expected increases in costs Recent failure of Mental Health Parity Bill in House of Representatives due to expected increases in costs

January 12, Mental Health Parity – State Policy Conducted a study of each of the 50 states over eight years Conducted a study of each of the 50 states over eight years States with certain characteristics were more likely to pass parity legislation States with certain characteristics were more likely to pass parity legislation California AB 88 California AB 88

January 12, Conclusions Mental health parity is both a national and international issue that will not go away Mental health parity is both a national and international issue that will not go away

January 12, Panel Speakers Richard Scheffler, Ph.D., Distinguished Professor of Health Economics and Public Policy, UC Berkeley Robert L. Okin, MD, Chief of Service of SFGH Department of Psychiatry, Professor of Clinical Psychiatry, and Vice Chair of the UCSF School of Medicine’s Department of Psychiatry Dr. Steven Mayberg, Director of California Department of Mental Health Ralph Catalano, Ph.D., Professor of Public Health, UC Berkeley Helen M. Thomson, Chair of California State Assembly Health Committee and the Select Committee on Mental Health