Hospital psychiatry for the twenty-first century

Steven S. Sharfstein, Faith B. Dickerson

Research output: Contribution to journalShort surveypeer-review

39 Scopus citations


Economic policies have shaped the provision of hospital psychiatric care. The main theme of the past fifty years has been the shift from long-stay public hospitals to acute care provided in private settings. States have reduced their costs by shifting their financial burden to federal dollars and commercial insurers through managed care practices. The net result has been a reduction in, and shortage of, psychiatric beds. Positive developments include better services in the continuum of care, the subspecialization of hospital psychiatry practice, and an increasing emphasis on patient choice and recovery.

Original languageEnglish (US)
Pages (from-to)685-688
Number of pages4
JournalHealth Affairs
Issue number3
StatePublished - May 2009

ASJC Scopus subject areas

  • Health Policy


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