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. 2012 May;39(3):158-69.
doi: 10.1007/s10488-011-0341-4.

Laypersons' choices and deliberations for mental health coverage

Sara E Evans-Lacko  1 , Nancy Baum, Marion Danis, Andrea Biddle, Susan Goold
Affiliations

Laypersons' choices and deliberations for mental health coverage

Sara E Evans-Lacko et al. Adm Policy Ment Health. 2012 May.

Abstract

Insurance coverage for mental health services has historically lagged behind other types of health services. We used a simulation exercise in which groups of laypersons deliberate about healthcare tradeoffs. Groups deciding for their "community" were more likely to select mental health coverage than individuals. Individual prioritization of mental health coverage, however, increased after group discussion. Participants discussed: value, cost and perceived need for mental health coverage, moral hazard and community benefit. A deliberative exercise in priority-setting led a significant proportion of persons to reconsider decisions about coverage for mental health services. Deliberations illustrated public-spiritedness, stigma and significant polarity of views.

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Figures

Fig. 1
Fig. 1
The CHAT board is shown with the number of pegs for each service type and coverage level visible as holes around the board. Each peg represents 2% of the per member per month (PMPM) cost of coverage
See this image and copyright information in PMC

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