Exhibit 4.
Percent Of People Ages 18–64Who Experienced A Cost Barrier To Mental Health Care By Mental Health And Insurance Status, 1999–2010
| Insurance status (n) | 1999–2000 | 2001–02 | 2003–04 | 2005–06 | 2007–08 | 2009–10 |
|---|---|---|---|---|---|---|
| No mental health problem | ||||||
| None (52,931)*** | 3.8 | 4.1 | 4.8 | 4.7 | 5.4 | 5.0 |
| Public (21,153) | 2.2 | 2.2 | 2.2 | 3.2 | 2.7 | 2.4 |
| Private (176,827)**** | 0.7 | 0.8 | 0.8 | 1.0 | 0.9 | 1.2 |
| SPD or limitation | ||||||
| None (3,153)**** | 28.0 | 30.0 | 26.9 | 33.8 | 36.4 | 35.3 |
| Public (4,581) | 8.7 | 8.8 | 9.3 | 12.7 | 14.2 | 10.8 |
| Private (5,125)*** | 8.6 | 9.3 | 10.0 | 12.0 | 13.3 | 12.6 |
| SPD and limitation | ||||||
| None (784) | 61.1 | 55.1 | 53.6 | 56.0 | 57.1 | 64.0 |
| Public (1,887) | 20.0 | 18.8 | 23.2 | 24.1 | 26.5 | 18.2 |
| Private (981) | 24.3 | 17.3 | 29.7 | 18.8 | 32.9 | 30.3 |
SOURCE Authors’ analysis of data from the Integrated Health Interview Series, 1999–2010 (see Note 22 in text).
NOTES Subjects were divided into three mutually exclusive groups: those with no mental health problem, those with a moderate mental health problem (either serious psychological distress (SPD) or an activity or functional limitation due to a mental health problem) and those with a serious mental health problem (both SPD and a limitation). Private insurance is employer-based, MediGap, or TRICARE. Public insurance is Medicaid, Medicare, other government programs, or other military coverage. None is uninsured. People with both private and public coverage were classified as private. Significance indicators pertain to statistical tests for significance of trend.
p ≤ 0.05
p ≤ 0.01
p ≤ 0.001