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Table 1. Loss of Public Psychiatric Beds between 2005 and 2010
Table 2. Patients in Public Psychiatric Hospitals per Total Population
Table 3. Funding Sources for the Treatment of Psychiatric Patients in State Hospitals Community Treatment

Table 1. Loss of Public Psychiatric Beds between 2005 and 2010

 

State
Number of beds 2010
Number of beds 2005
Number of beds lost or gained
Percent of beds lost or gained
2010 beds/ 100,000 total population
Percent of target beds per capita
State ranking per capita (highest to lowest)
Alabama 1,119 1,001 118 +12% 23.4 49% 5
Alaska 52 74 -22 -30% 7.3 16% 45
Arizona 260 338 -78 -23% 4.1 8% 49
Arkansas 203 184 19 +10% 7.0 14% 46
California 5,283 6,285 -1,002 -16% 14.2 29% 22
Colorado 520 776 -256 -33% 10.3 23% 32-35
Connecticut 741 889 -148 -17% 20.7 43% 10
Delaware 209 281 -72 -26% 23.3 51% 6
Florida 3,321 2,101 1,220 +58% 17.7 38% 18
Georgia 1,187 1,635 -448 -27% 12.3 27% 26
Hawaii 182 171 11 +6% 13.4 29% 25
Idaho 155 157 -2 -1% 9.9 23% 36
Illinois 1,429 1,821 -392 -22% 11.1 23% 29
Indiana 908 1,201 -293 -24% 14.0 29% 23-24
Iowa 149 239 -90 -38% 4.9 10% 48
Kansas 705 594 111 +19% 24.7 51% 4
Kentucky 446 646 -200 -31% 10.3 21% 32-35
Louisiana 903 914 -11 -1% 19.9 40% 12
Maine 137 166 -29 -17% 10.3 21% 32-35
Maryland 1,058 1,203 -145 -12% 18.3 38% 15-16
Massachusetts 696 1,015 -319 -31% 10.6 22% 31
Michigan 530 1,006 -476 -47% 5.4 11% 47
Minnesota* 206 464 -258 -56% 3.9 8% 50
Mississippi 1,156 1,442 -286 -20% 39.0 79% 1
Missouri 1,332 1,238 94 +8% 22.2 46% 8
Montana 194 194 0 0% 19.6 42% 13
Nebraska 337 361 -24 -7% 18.5 38% 14
Nevada 302 119 183 +153% 11.2 25% 27-28
New Hampshire 189 224 -35 -16% 14.4 29% 21
New Jersey 1,922 2,820 -898 -32% 21.9 44% 9
New Mexico 171 425 -254 -60% 8.3 18% 42-43
New York 4,958 5,269 -311 -6% 25.6 52% 3
North Carolina 761 1,461 -700 -48% 8.0 18% 44
North Dakota 150 164 -14 -9% 22.3 48% 7
Ohio 1,058 1,210 -152 -13% 9.2 18% 39-40
Oklahoma 401 386 15 +4% 10.7 23% 30
Oregon 700 691 9 +1% 18.3 39% 15-16
Pennsylvania 1,850 2,349 -499 -21% 14.6 30% 20
Rhode Island 108 134 -26 -19% 10.3 20% 32-35
South Carolina 426 443 -17 -4% 9.2 20% 39-40
South Dakota 238 311 -73 -23% 29.2 62% 2
Tennessee 616 1,068 -452 -42% 9.7 21% 38
Texas 2,129 2,128 1 0% 8.5 19% 41
Utah 310 329 -19 -6% 11.2 26% 27-28
Vermont 52 55 -3 -5% 8.3 17% 42-43
Virginia 1,407 1,659 -252 -15% 17.6 37% 19
Washington 1,220 1,170 50 +4% 18.1 34% 17
West Virginia 259 258 1 0% 14.0 29% 23-24
Wisconsin 558 716 -158 -22% 9.8 20% 37
Wyoming 115 122 -7 -6% 20.4 45% 11
TOTALS 43,318 49,907 -7,797 14.1
* Partially reflects change in treatment model to multiple 16-bed community facilities.

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Table 2. Patients in Public Psychiatric Hospitals per Total Population

 

 Year 

Number of patients in public psychiatric hosptials*

Rate per 100,000 population

1831 150 1.0
1840 471 3.0
1850 3,275 14.1
1860 7,696 24.4
1870 14,605 36.6
1881 36,780 71.4
1896 69,445 110.1
1903 144,653 179.4
1910 180,247 195.1
1923 255,245 288.0
1931 318,821 257.0
1940 423,445 320.9
1950 512,501 338.9
1960 535,540 297.6
1970 337,619 165.7
1980 135,134 58.3
1990 92,059 36.9
2000 54,836 18.5
2010 43,318 14.0

 

*Data for 1831-1980 taken from Stroup, A.L., & Manderscheid, R.W. The development of the state mental hospital system in the United States: 1840-1890, Journal of the Washington Academy of the Sciences,1988;78: 59-68.

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Table 3. Funding Sources for the Treatment of Psychiatric Patients in State Hospitals and Community Treatment

 

State Hospital

Community Treatment

State funds (include state Medicaid match) 79% 55%
Federal funds (mostly Medicaid and Medicare) 16% 37%
Local (county and city) 1% 3%
Other 4% 5%

 

Source: SAMHSA, Funding and Characteristics of State Mental Health Agencies, 2010. Rockville, MD, Substance Abuse and Mental Health Services Administration, 2011, pp.95 and 119.

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