Long-Term Psychiatric Care Service and Coordination Gaps in Michigan's Publicly Funded Mental Health System

Abstract

A multi-party planning effort examined long-term psychiatric care issues confronting Michigan's publicly funded mental health system. It was found that the state's Community Mental Health network primarily serves people experiencing mental illness, yet spends less than 45% of its funds on such individuals. The most pressing long-term psychiatric service gaps in Michigan were identified as: continuous inpatient care; housing; and wraparound service for minors. The greatest coordination difficulties involved mental health collaboration with: primary care; justice systems; substance abuse services; and schools. Recommendations were developed and advanced for dealing with the various gaps and other key issues.

Key Words:

• Mental health
• mental illness
• psychiatric care