Cutler Institute for Health and Social Policy

Population Health and Health Policy

Rural Inpatient Psychiatric Units Improve Access to Community-Based Mental Health Services, but Medicare Payment Policy a Barrier

Abstract: 

<li>Of approximately 1500 small rural hospitals (less than 50 beds), 80 or about
five percent have an inpatient psychiatric unit. <li>Ninety-five percent of rural hospitals with IPUs have outpatient mental health services available locally compared with 57% in a previous survey of rural hospitals. <li>Mental health practitioners who staff rural IPUs often provide outpatient services in the local community, splitting their time between
staffing the hospital unit and their community practice. <li>Prospective payment for inpatient psychiatric facilities is cited as a major factor in recent closures of several rural IPUs.

Publication Type: 
Report
Publish Date: 
December 26, 2007
URL: 
http://muskie.usm.maine.edu/Publications/rural/pb36/IPU.pdf