Psyhc Care

Introduction

Billing anxiety in psychiatric care is an often-overlooked but deeply impactful issue affecting patients and their families. When individuals seek mental health services, they are already navigating a complex landscape of symptoms, treatment options, and emotional stress. Adding financial uncertainty to this mix can significantly increase their overall burden, sometimes creating barriers to accessing care or continuing treatment. Unlike many physical health conditions, psychiatric care often requires ongoing therapy sessions, regular medication management, and sometimes intensive inpatient services. These factors contribute to a complicated financial picture that patients and their families must understand and manage.

However, mental health billing is notoriously confusing, with insurance policies that vary widely in coverage, copays, session limits, and medication reimbursements. Patients may receive bills long after their treatment, often with little explanation or clarity, causing surprise, frustration, and anxiety. Families who support psychiatric patients often find themselves trying to decode dense medical billing language or handle unexpected expenses. This financial stress is compounded by the stigma surrounding mental illness, which may discourage patients and families from openly discussing their money concerns.

Reducing billing anxiety is crucial not only for the emotional well-being of psychiatric patients but also for treatment adherence and overall health outcomes. When patients understand their financial responsibilities and feel supported in managing costs, they are more likely to attend appointments regularly, follow treatment plans, and engage fully with their care teams. Mental health providers, therefore, have a vital role in fostering transparency, providing clear financial education, and offering flexible payment options that reduce fear and confusion around billing.

This article delves into the causes and consequences of billing anxiety for psychiatric patients and families, examining how providers, families, and systems can collaborate to alleviate this stress. From upfront cost discussions and simplified billing practices to the use of technology and policy reforms, there are many promising strategies to build trust and reduce financial barriers. By addressing these issues, we can create a more patient-centered, compassionate mental health care system that supports recovery and resilience.

Understanding Billing Anxiety in Psychiatric Care

Billing anxiety refers to the distress and worry patients and their families experience related to the financial aspects of psychiatric treatment. For many, the thought of managing medical bills, insurance claims, and unexpected expenses adds a layer of stress that can exacerbate mental health symptoms. This anxiety is particularly prevalent in psychiatric care due to the nature of treatment, which is often prolonged and involves multiple service types—therapy sessions, medications, psychological testing, and sometimes hospitalization.

One critical factor that amplifies billing anxiety is the complexity of psychiatric billing itself. Unlike many physical health services that may be one-time or episodic, psychiatric treatment often requires regular visits over months or years. Patients may receive bills for therapy sessions, psychiatrist consultations, lab work for medication monitoring, and pharmacy costs. Each element may be billed separately and reimbursed differently by insurance. For patients with limited financial literacy or cognitive challenges related to their condition, deciphering these bills can feel overwhelming.

Furthermore, psychiatric patients often face social and economic challenges such as unemployment, unstable housing, or low income, which intensify financial vulnerability. The combination of economic insecurity and unclear billing processes can lead to avoidance of care, missed appointments, or incomplete treatment adherence. Families frequently act as financial advocates or caretakers, but may themselves be unprepared for the complexity of psychiatric billing or reluctant to discuss money matters openly due to stigma.

Understanding billing anxiety in psychiatric care requires recognizing that it is not merely a financial issue but one deeply intertwined with mental health and treatment engagement. Addressing this anxiety by improving billing transparency and patient education is essential to supporting psychiatric patients’ well-being and recovery.

Factors Contributing to Billing Anxiety

Billing anxiety among psychiatric patients and their families arises from a constellation of interrelated factors that create confusion, uncertainty, and financial stress. Understanding these contributing elements is crucial for developing effective strategies to reduce anxiety and promote clearer communication.

Complex Insurance Policies stand out as a primary source of confusion. Mental health coverage often differs significantly from physical health coverage. Insurance plans may limit the number of therapy sessions covered annually, require high copayments or coinsurance, or exclude certain medications and services. Patients must navigate these rules while balancing the unpredictable nature of mental health care, where treatment length and intensity can fluctuate. Insurance jargon such as “out-of-network benefits,” “prior authorization,” and “deductible” further complicates patients’ ability to anticipate their financial responsibility.

Lack of Transparency compounds this confusion. Many psychiatric providers do not routinely discuss the expected costs of care before treatment begins. Without upfront information, patients and families are left guessing what their bills will look like. This absence of clear communication can lead to shock and distrust when invoices arrive unexpectedly. Furthermore, bills themselves are often dense and filled with medical codes and abbreviations that patients may not understand.

Unexpected or Surprise Bills add another layer of distress. Patients may receive bills months after a service, sometimes from providers they did not realize were involved, such as a consulting psychiatrist or lab technician. The timing and complexity of these bills create anxiety as families scramble to understand charges and find funds to pay them. This unpredictability makes it difficult to budget or plan for treatment costs.

Digital Literacy Gaps play a role as well. Increasingly, billing and payment are managed through online portals and mobile apps. While these technologies offer convenience for many, patients who are older, have limited internet access, or lack familiarity with digital tools may feel excluded or overwhelmed. These barriers can prevent timely bill review or payment, leading to late fees or collection actions, further increasing stress.

Financial Insecurity is prevalent among many psychiatric patients. Mental illness can impact employment stability, making steady income uncertain. High out-of-pocket costs, copayments, and medication expenses may strain limited budgets. Patients and families already struggling to meet basic needs may find psychiatric bills an added hardship, fostering feelings of guilt or shame.

Lastly, Stigma and Isolation associated with mental illness can prevent patients from seeking clarification or help with financial questions. Fear of judgment about their economic situation or mental health status can lead to silence and avoidance, exacerbating anxiety and reducing access to financial assistance programs.

Together, these factors form a complex web that contributes to billing anxiety. Recognizing these contributors is the first step toward designing patient-centered interventions that increase clarity, compassion, and support in psychiatric billing.

Impact of Billing Anxiety on Psychiatric Treatment

Billing anxiety can have profound and far-reaching effects on the psychiatric treatment journey for patients and their families. Because mental health conditions often require consistent, long-term care, financial stress related to billing can interfere directly with treatment adherence and overall well-being.

One of the most immediate consequences of billing anxiety is avoidance of care. When patients fear the costs they might incur, they may delay seeking help altogether or discontinue therapy prematurely. This hesitancy is especially damaging in psychiatric care, where early intervention and regular sessions are critical to managing symptoms and preventing crises. The unpredictability of bills or the fear of high out-of-pocket expenses can lead individuals to forgo necessary appointments, creating a dangerous cycle where untreated mental illness worsens.

Billing anxiety also contributes to treatment non-adherence. Patients who start medication regimens or therapy plans may skip doses or sessions because they cannot afford copayments or fill prescriptions. In some cases, patients may ration medications to stretch supply, compromising efficacy and safety. Non-adherence negatively affects clinical outcomes and may necessitate more intensive, costly care later.

The psychological toll of financial stress cannot be underestimated. Money worries increase anxiety, depression, and feelings of helplessness, exacerbating existing psychiatric symptoms. The chronic stress of managing bills can also lead to sleep disturbances, irritability, and reduced capacity to engage actively in therapy. This creates a feedback loop where financial concerns worsen mental health, which in turn increases the difficulty of managing finances.

Families often bear the emotional and financial burden of psychiatric billing. Strained family relationships can result from disagreements about how to pay for care or feelings of frustration and guilt over financial strain. Family members may experience stress, exhaustion, or conflict, which can undermine the patient’s support system and recovery environment.

Finally, the cumulative effect of billing anxiety is worsening health outcomes. Patients who delay or avoid care, skip treatment, or experience additional psychological distress related to finances are more likely to experience psychiatric crises, hospitalizations, and emergency interventions. This increases overall healthcare costs and places additional strain on families and the mental health system.

Addressing billing anxiety is therefore not just a matter of financial management but an essential component of comprehensive psychiatric care. Reducing financial stress supports treatment engagement, improves patient outcomes, and fosters a collaborative, trusting therapeutic relationship.

Best Practices for Providers to Reduce Billing Anxiety

Mental health providers play a critical role in alleviating billing anxiety by fostering transparency, clear communication, and patient-centered financial support. Adopting best practices focused on demystifying costs and offering flexible options can help reduce patients’ and families’ stress around billing, thereby improving engagement and outcomes.

Upfront Cost Discussions are among the most effective strategies. Providers should discuss expected treatment costs with patients and families before beginning care. This includes clarifying fees for therapy sessions, psychiatrist visits, medications, and any ancillary services. Such conversations empower patients to anticipate expenses and make informed decisions. When possible, providers should provide written estimates or brochures that outline typical costs and insurance coverage basics in simple language. This proactive approach builds trust and reduces the shock of unexpected bills later.

Simplified Billing Statements also contribute to reducing confusion. Many patients struggle with the complex, jargon-heavy invoices they receive. By working with billing departments to create clear, itemized statements that use plain language and avoid unexplained codes, providers can make bills easier to understand. Including contact information for billing questions and a summary of insurance payments and patient responsibility can enhance clarity.

Flexible Payment Options demonstrate provider empathy for financial challenges. Offering sliding scale fees based on income, setting up affordable payment plans, and assisting patients in applying for financial assistance programs can alleviate immediate money worries. Flexible arrangements enable patients to continue care without the pressure of large lump-sum payments. Providers should clearly communicate these options during initial cost discussions and be open to revisiting payment plans if circumstances change.

Patient Education is another vital component. Mental health clinics can develop educational materials—pamphlets, videos, or workshops—that explain common insurance terms, billing procedures, and how to interpret bills. This helps patients and families build financial literacy and reduces intimidation by healthcare billing processes. Staff trained in empathetic communication can guide patients through insurance questions and advocate on their behalf when needed.

Dedicated Billing Support Staff who understand psychiatric care’s unique challenges can improve patient experience. When patients have access to knowledgeable, patient, and responsive personnel who can explain charges, insurance denials, and payment options, they feel supported rather than frustrated. This reduces the likelihood of unpaid bills, collection actions, and deteriorating trust.

Technology Access Support is essential given the growing use of electronic billing and payment portals. Providers should assist patients in registering for online accounts, navigating portals, and using mobile apps, especially for populations with low digital literacy. Offering paper billing alternatives or phone support ensures that no patient is excluded due to technology barriers.

By integrating these best practices, providers can make the financial side of psychiatric care more transparent, manageable, and less anxiety-provoking. This patient-centered approach strengthens the therapeutic relationship and encourages sustained engagement in mental health treatment.

Role of Families in Managing Billing Anxiety

Families often serve as crucial pillars of support for psychiatric patients, not only emotionally but also in managing the complex financial aspects of care. Their involvement can significantly influence how patients cope with billing anxiety, making family engagement an important part of reducing financial stress and fostering treatment adherence.

First and foremost, families frequently take on responsibilities such as budgeting for treatment costs, handling insurance paperwork, and communicating with billing departments. Many psychiatric patients may face cognitive challenges, fatigue, or emotional distress that make managing these tasks overwhelming. When families step in to assist, they can help ensure bills are paid on time, insurance claims are properly submitted, and financial assistance applications are completed, preventing compounding stress for the patient.

Open and honest communication within families about treatment costs and financial expectations plays a vital role in reducing anxiety. When families discuss billing issues openly, it minimizes misunderstandings and prepares everyone involved to manage potential expenses together. This transparency helps patients feel less isolated in facing financial burdens and allows family members to plan effectively.

Families can also act as advocates for financial counseling and assistance. They may be more likely than patients to seek out available resources, such as sliding scale programs, government subsidies, or nonprofit support services. Encouraging psychiatric patients to accept help with financial management can improve treatment continuity and reduce anxiety related to uncertainty about costs.

Creating a non-judgmental environment around money conversations is equally important. Mental health stigma often extends to financial difficulties, causing shame and reluctance to discuss money openly. Families who foster a supportive atmosphere enable patients to express their concerns and fears without fear of criticism, encouraging collaborative problem-solving.

Moreover, family members can support patients in tracking insurance benefits and understanding coverage limitations. This shared knowledge prevents surprises and empowers both patients and families to make informed decisions about care options and payment strategies.

In sum, families play a multifaceted role in mitigating billing anxiety by managing financial logistics, promoting transparent communication, advocating for resources, and providing emotional support. By partnering with providers and patients, families can help create a more manageable, compassionate financial environment around psychiatric care.

Leveraging Technology to Reduce Billing Anxiety

In the digital age, technology offers powerful tools to help reduce billing anxiety for psychiatric patients and their families by increasing transparency, improving accessibility, and streamlining communication around financial matters. When thoughtfully implemented, these technological solutions can transform how patients engage with their billing information and payments, ultimately easing stress and fostering trust.

One of the most significant advancements is the widespread adoption of online patient portals. These secure platforms allow patients and families to view detailed billing statements, track payments, and access insurance information in real time. Instead of waiting weeks or months for paper bills to arrive, patients can log in anytime to see what services have been provided, how insurance has processed claims, and what amounts remain outstanding. This immediacy helps eliminate surprises and empowers patients to manage their finances proactively.

Mobile apps complement patient portals by sending timely notifications and reminders for upcoming copayments, due dates, and appointment-related fees. These alerts reduce missed payments and late fees, which can escalate anxiety. Mobile access also appeals to younger patients or caregivers who prefer managing their health finances on smartphones.

During appointment scheduling—especially for telehealth services—cost disclosures embedded in scheduling software can further reduce billing anxiety. Patients can see estimated copays or fees before booking, allowing for informed decisions about whether and when to seek care. This upfront transparency helps prevent unexpected charges later.

Innovations in artificial intelligence (AI) and chatbot technology offer additional support by providing 24/7 access to billing assistance. AI-powered chatbots can answer frequently asked questions, guide users through payment options, explain insurance terminology, and direct patients to financial counseling resources. This instant support reduces frustration for patients needing quick answers without waiting on hold or navigating complex automated phone menus.

Despite these benefits, it is critical to address the digital divide to ensure equitable access. Not all psychiatric patients have reliable internet connections, smartphones, or the skills to navigate digital billing platforms. Providers must offer alternative methods such as paper statements, telephone support, and in-person financial counseling to prevent excluding vulnerable populations.

Additionally, security and privacy are paramount when dealing with sensitive mental health and financial data. Robust cybersecurity measures must protect patient information to maintain trust and comply with regulations.

In conclusion, leveraging technology thoughtfully can significantly alleviate billing anxiety by providing clear, accessible, and timely financial information. When combined with human-centered support, these digital tools create a more transparent, efficient, and patient-friendly billing experience in psychiatric care.

Policy and System-Level Interventions

While individual providers and families can make meaningful strides in reducing billing anxiety, long-term solutions require systemic changes driven by public policy, healthcare regulation, and payer reform. Structural barriers in the mental health system—such as inconsistent insurance coverage, lack of price transparency, and inadequate consumer protections—must be addressed at the institutional and governmental levels to reduce financial burdens on psychiatric patients and their families.

One foundational policy area is the enforcement and expansion of mental health parity laws. These laws mandate that insurance coverage for mental health services must be equal in scope and cost-sharing to that of physical health services. However, enforcement remains inconsistent, and many insurers still find ways to limit psychiatric care by restricting provider networks, requiring extensive pre-authorizations, or denying claims on technicalities. Stronger oversight from state and federal regulators can ensure that patients have fair access to care without unexpected denials or excessive out-of-pocket costs that fuel billing anxiety.

In addition to parity enforcement, legislation aimed at billing transparency can significantly reduce confusion. Several U.S. states have implemented laws requiring providers to disclose estimated costs before delivering services. Expanding such regulations to psychiatric care can help patients and families plan ahead and avoid surprise bills. Transparent billing regulations would also standardize how costs are communicated, encouraging clearer, more consumer-friendly language across healthcare systems.

Simplifying insurance claims processes is another critical reform area. Many psychiatric patients face denied claims due to coding errors, provider credentialing issues, or failure to obtain pre-authorizations. These bureaucratic obstacles delay payment and create confusion. Policymakers and insurers can collaborate to streamline the claims process, reducing administrative burdens on patients and providers alike. A simplified, automated system with real-time claims tracking could significantly lower anxiety levels for patients concerned about whether their treatment will be covered.

Expanding public mental health funding and subsidy programs is essential, especially for underserved populations. Government-funded programs such as Medicaid and state-funded behavioral health services help cover treatment costs for millions of low-income individuals. However, these programs are often underfunded or limited in coverage. Increasing investment in public mental health infrastructure would ensure broader access to affordable care and reduce the financial vulnerability that exacerbates billing anxiety.

At the system level, provider-payer collaboration can also improve the patient financial experience. Insurance companies and healthcare systems should work together to create integrated billing platforms where patients can view insurance claims, provider fees, and payment histories all in one place. This unified approach would eliminate redundancy and reduce confusion caused by fragmented communications between insurance providers and healthcare facilities.

Finally, consumer advocacy organizations and mental health nonprofits can play a vital role in promoting patient rights, financial education, and transparency. By lobbying for systemic reform and offering direct assistance to psychiatric patients, these groups serve as vital bridges between policy changes and real-world impact.

In conclusion, policy and system-level interventions are necessary to create a healthcare environment where psychiatric patients are not burdened by financial ambiguity. Through stronger regulation, streamlined processes, and equitable funding, we can build a mental health care system that supports recovery not only clinically but financially as well.

Case Studies and Success Stories

Real-world examples provide compelling evidence that reducing billing anxiety is both achievable and highly beneficial to psychiatric patients and their families. Across diverse healthcare settings—community clinics, private practices, hospitals, and digital platforms—numerous organizations have successfully implemented strategies that enhance billing transparency, patient trust, and financial peace of mind.

One notable example is a community mental health center in Oregon that integrated financial counseling into its intake process. Upon initiating treatment, each patient was offered a free session with a billing specialist who explained the expected costs, reviewed the patient’s insurance coverage, and helped set up payment plans if needed. The center reported a measurable decrease in missed appointments, a 20% increase in on-time payments, and significant improvements in patient satisfaction scores. More importantly, clinicians noticed that patients appeared more engaged in therapy and less distracted by external financial concerns.

In New York City, a group of outpatient psychiatric providers developed a simplified billing system based on plain-language statements and visual aids. Billing documents included color-coded sections to help patients understand what was billed, what insurance paid, and what their responsibility was. They also included brief definitions of common terms like “deductible” and “co-pay.” This design innovation, tested through feedback from a patient advisory board, resulted in a 35% decrease in billing-related calls to the office and greater patient confidence in understanding their financial obligations.

A telepsychiatry network in the Midwest leveraged technology to proactively reduce billing anxiety. During appointment scheduling, patients received an automated cost estimate that included their insurance coverage status and anticipated out-of-pocket costs. After each session, they were sent a digital receipt summarizing charges and payments in a mobile-friendly format. Feedback from over 1,000 patients revealed that 88% found the digital billing communication “clear” or “very clear,” and the number of billing disputes dropped by nearly half within six months.

In Los Angeles, a behavioral health nonprofit piloted a financial literacy program specifically tailored to individuals with mood and anxiety disorders. The program included group workshops, one-on-one counseling, and peer support groups focused on managing medical debt, budgeting for care, and understanding insurance. Participants not only reported reduced stress about medical bills but also improved medication adherence and therapy attendance, suggesting that empowering patients financially positively impacts treatment continuity.

Finally, a family-run private psychiatric practice in Atlanta took a family-centered approach to billing by including caregivers in financial discussions (with patient consent) and offering a monthly “financial Q&A hour.” This transparency created a culture of open dialogue around costs, significantly reducing tensions between patients and family members over money. One caregiver described the program as “life-changing” because it helped her support her adult son’s care without feeling overwhelmed or confused.

These case studies demonstrate that proactive, empathetic, and patient-centered approaches to billing can dramatically reduce anxiety and improve outcomes. Whether through technological innovation, educational outreach, or hands-on support, providers and organizations can make tangible improvements that enhance trust, boost engagement, and foster long-term recovery in psychiatric care.

Future Directions in Reducing Billing Anxiety

As awareness of billing anxiety grows, so too does the recognition that addressing it must be a core component of comprehensive psychiatric care. Looking ahead, future strategies must build on current progress while introducing innovative, inclusive, and scalable solutions. The goal is to develop systems that not only reduce financial confusion and stress but also align with evolving models of mental health treatment, insurance, and technology.

One promising area for future development is the integration of financial counseling into psychiatric care teams. Just as patients have access to psychiatrists, therapists, and case managers, financial counselors can become routine members of the care team. These professionals would meet with patients early in the treatment process to discuss insurance coverage, payment options, and budgeting strategies. Ideally, this support would be ongoing, adjusting to changes in income, benefits, or treatment needs. Embedding financial services directly into mental health clinics reinforces the message that managing costs is part of holistic wellness.

Advances in AI and machine learning also offer powerful tools to personalize financial communication. Future billing systems could automatically adjust the complexity and tone of billing messages based on a patient’s literacy level, preferred language, or previous interactions. For example, patients who struggle with standard statements might receive simplified visual bills or audio explanations. Predictive analytics could also alert providers to patients at higher risk of missing payments or disengaging from care due to financial strain, prompting early outreach and intervention.

Another key direction involves strengthening cultural competence in financial communication. As mental health services increasingly serve diverse populations, billing practices must account for cultural norms, language barriers, and differing attitudes toward money and healthcare. Training for billing staff in cultural humility, alongside the translation of billing materials into multiple languages and formats, will ensure that no patient feels excluded or misunderstood due to cultural or linguistic factors.

Policy expansion will also shape the future landscape. There is a growing push for national standards on billing transparency, insurance parity enforcement, and financial assistance accessibility. Advocacy for broader public mental health funding, expansion of Medicaid, and more generous subsidies for low-income individuals will reduce systemic financial barriers. Policymakers and regulators must also work to simplify the insurance system so patients are not penalized for lacking legal or medical expertise.

Technology will continue to evolve, offering fully integrated digital health ecosystems where scheduling, treatment, insurance, and billing are seamlessly connected. Patients may soon have access to apps or portals that offer real-time estimates, track insurance claims, flag discrepancies, and provide payment support—all in one place. These tools, paired with strong privacy protections and digital equity efforts, will redefine patient engagement and financial transparency.

Additionally, research and evaluation must be part of future strategies. More studies are needed to quantify the impact of billing anxiety on psychiatric outcomes and to test the effectiveness of various interventions. Outcome-based research can guide best practices, ensuring that resources are directed toward strategies that produce measurable reductions in financial stress and improved mental health.

Finally, there is a need for ongoing dialogue among stakeholders—patients, families, providers, insurers, policymakers, and technology developers. Regular collaboration will help ensure that the solutions developed are patient-centered, feasible, and responsive to the changing realities of mental healthcare delivery.

In conclusion, the future of reducing billing anxiety lies in integration, innovation, and equity. By embedding financial care into the mental health journey, using advanced technology to personalize communication, and enacting supportive policies, the psychiatric care system can become more transparent, compassionate, and accessible. As these changes unfold, patients and families will be better equipped not only to manage costs but also to fully engage in the healing process.

Conclusion

Billing anxiety remains a silent but powerful barrier in psychiatric care—one that affects access, engagement, trust, and outcomes. For psychiatric patients and their families, navigating the financial side of treatment can be overwhelming, particularly when layered onto the emotional and psychological burdens already present. The confusion of insurance policies, the shock of unexpected costs, and the fear of mounting debt can deter individuals from seeking help or maintaining continuity in their care. In this way, financial stress becomes not just a practical problem, but a clinical one.

Throughout this article, we have explored how billing anxiety originates from a combination of systemic complexity, lack of transparency, and insufficient support. Its consequences are far-reaching: missed appointments, treatment non-adherence, exacerbated symptoms, strained family relationships, and ultimately poorer mental health outcomes. Yet the path forward is clear. Providers, families, policymakers, and technology leaders all have critical roles to play in creating a more transparent, empathetic, and manageable billing experience.

Mental health providers can lead the charge by embracing best practices—open cost discussions, simplified billing language, financial education, and compassionate payment options. Families can offer vital advocacy and emotional support, helping patients face billing issues without shame or confusion. Technology offers new tools that make financial information more accessible and personalized, while system-level reforms can enforce parity, expand assistance, and simplify insurance systems.

Importantly, the effort to reduce billing anxiety must be seen as a core component of psychiatric care—not a secondary or administrative concern. When patients feel secure in their understanding of treatment costs, they are more likely to remain engaged, adhere to their care plans, and focus on healing. Financial clarity fosters emotional stability and strengthens the therapeutic relationship, creating a virtuous cycle of trust, openness, and wellness.

As we look toward the future, the commitment to financial transparency in mental health must deepen. The systems we build must prioritize empathy alongside efficiency, understanding alongside innovation. Only then can we ensure that all individuals, regardless of economic status or mental health condition, have the opportunity to pursue care free from the fear of financial harm.

In summary, reducing billing anxiety is not just a logistical necessity—it is a moral imperative. It is about respecting the dignity of patients, supporting families, and building a psychiatric care system that truly serves the whole person. With continued collaboration, investment, and compassion, we can transform the billing experience from a source of stress into a platform for empowerment and trust.

SOURCES

Bailey, S. R., O’Malley, J. P., Gold, R., Heintzman, J., & Likumahuwa, S. (2017). Receipt of diabetes preventive services differs by insurance status at visit. American Journal of Preventive Medicine, 52(6), 735–739.

Barry, C. L., Busch, S. H., & Mehrotra, A. (2020). Improving access to mental health care through telepsychiatry: A 21st century approach to the workforce shortage. Health Affairs, 39(6), 984–990.

Beronio, K., Glied, S., & Frank, R. (2014). How the Affordable Care Act and Mental Health Parity and Addiction Equity Act greatly expand coverage of behavioral health care. The Journal of Behavioral Health Services & Research, 41(4), 410–428.

Chandra, A., & Skinner, J. (2012). Technology growth and expenditure growth in health care. Journal of Economic Literature, 50(3), 645–680.

Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15(2), 37–70.

Dunn, A. S., Sadovsky, R., & Andriole, K. (2013). Improving patient financial engagement through integrated systems. Journal of Ambulatory Care Management, 36(3), 202–208.

Frank, R. G., & Glied, S. A. (2006). Better but not well: Mental health policy in the United States since 1950. Johns Hopkins University Press.

Hibbard, J. H., Greene, J., & Overton, V. (2013). Patients with lower activation associated with higher costs; delivery systems should know their patients’ ‘scores’. Health Affairs, 32(2), 216–222.

Huskamp, H. A., Busch, A. B., & Uscher-Pines, L. (2021). Expansion of telepsychiatry during the COVID-19 pandemic and its effects on mental health care. Psychiatric Services, 72(5), 577–583.

Kaufman, B. G., Thomas, S. R., Randolph, R. K., Perry, J. R., Thompson, K. W., Holmes, G. M., & Pink, G. H. (2016). The rising rate of rural hospital closures. The Journal of Rural Health, 32(1), 35–43.

Mark, T. L., Levit, K. R., Yee, T., & Chow, C. M. (2014). Spending on mental and substance use disorders projected to grow more slowly than all health spending through 2020. Health Affairs, 33(8), 1407–1415.

Mechanic, D. (2007). Mental health and social policy: Beyond managed care (5th ed.). Pearson Education.

National Council for Behavioral Health. (2019). Mass shootings and mental illness. National Council Medical Director Institute.

O’Shea, J. (2020). Rising healthcare costs and their impact on psychiatric patients. The Journal of Psychiatric Practice, 26(3), 172–176.

HISTORY

Current Version
JULY, 01, 2025

Written By
BARIRA MEHMOOD