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NAPHS survey: Increasing demand for psychiatric care

July 23, 2013
by Shannon Brys, Associate Editor
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Behavioral healthcare systems are playing a major role in responding to the needs of the millions of Americans of all ages who experience psychiatric and substance use conditions each year, according to the latest annual survey from the National Association of Psychiatric Health Systems (NAPHS). Data were analyzed and reported by Dobson DaVanzo & Associates, LLC, Vienna, VA.    

The new NAPHS Annual Survey reports 2011 data that was collected in 2012 and issued in 2013. The report provides two distinct views of behavioral healthcare delivery. One chapter provides a trend analysis that looks at changes from year to year in hospitals and residential treatment centers reporting over a two-year period. Another chapter provides national averages to give a snapshot of members' experiences in the reporting year. This chapter also presents selected data by set-up-and-staffed bed categories to help organizations compare their own experiences to those of facilities of a similar size.  

"Survey responses indicate that the need for psychiatric services in inpatient hospitals continues to grow as trended admissions, lengths of stay, and days of care have increased over the past year," said NAPHS President/CEO Mark Covall. Inpatient hospital admissions increased 8.8% from 2010 to 2011 (to an average of 3,053) in facilities reporting in both years. Trended hospital length of stay increased to 9.9 days in 2011 (vs. 9.1 days in 2010). This was accompanied by an increase in the average number of beds within facilities to accommodate for the increased demand. Average licensed beds in facilities reporting both years increased 2.4% (to 100 beds) and set-up-and staffed beds increased 4.6% (to 95 beds).

"In addition, the survey also demonstrates the great diversity of levels of care and payer sources for children, adolescents, adults, and older adults experiencing mental and substance use disorders. In addition to hospital-level care, NAPHS-member facilities provide a growing and changing mix of residential treatment, partial hospitalization, and outpatient care," Covall said. Payer sources include Medicaid, Medicare, private insurance, state governments, and others such as juvenile justice systems.

Data drawn from other major studies is also presented in the Annual Survey to provide context on the prevalence of behavioral conditions.