<str<strong>on</strong>g>State</str<strong>on</strong>g>-<str<strong>on</strong>g>Level</str<strong>on</strong>g> <str<strong>on</strong>g>Spending</str<strong>on</strong>g><strong>on</strong><strong>Mental</strong> <strong>Health</strong> <strong>Services</strong>and<strong>Substance</strong> Abuse Treatment1997-2005U.S. Department of <strong>Health</strong> and Human <strong>Services</strong><strong>Substance</strong> Abuse and <strong>Mental</strong> <strong>Health</strong> <strong>Services</strong> Administrati<strong>on</strong>Center for <strong>Mental</strong> <strong>Health</strong> <strong>Services</strong>Center for <strong>Substance</strong> Abuse Treatment
<str<strong>on</strong>g>State</str<strong>on</strong>g> ProfilesThe following <str<strong>on</strong>g>State</str<strong>on</strong>g> profiles c<strong>on</strong>tain estimates of MHSA treatment spending per resident by the <str<strong>on</strong>g>State</str<strong>on</strong>g>of patient residence. Each <str<strong>on</strong>g>State</str<strong>on</strong>g> is presented separately in a two-page presentati<strong>on</strong> to discourageranking of per-resident spending am<strong>on</strong>g <str<strong>on</strong>g>State</str<strong>on</strong>g>s. This is because differences between estimates withdifferent values may not be statistically significant.MHSA treatment spending varied c<strong>on</strong>siderably across <str<strong>on</strong>g>State</str<strong>on</strong>g>s, both in total dollars and in theproporti<strong>on</strong> of all-health spending that was devoted to MHSA services. <str<strong>on</strong>g>Spending</str<strong>on</strong>g> levels in each <str<strong>on</strong>g>State</str<strong>on</strong>g>reflect a variety of factors, including the unique needs of the populati<strong>on</strong>, the accessibility ofbehavioral health care facilities and providers, the size of the behavioral health workforce, and theavailability of funding.To frame the estimates of MHSA spending, data <strong>on</strong> various <str<strong>on</strong>g>State</str<strong>on</strong>g>-level c<strong>on</strong>textual measures are alsopresented and described below. These reference measures have complex relati<strong>on</strong>ships with MHSAtreatment spending, so their effect <strong>on</strong> or result from MHSA spending is not always straightforward.Nevertheless, they provide additi<strong>on</strong>al background for interpreting differences in spending acrossgeographic areas. In the graphics that follow, each measure is presented relative to the U.S.average. 1All-<strong>Health</strong> <str<strong>on</strong>g>Spending</str<strong>on</strong>g> per <str<strong>on</strong>g>State</str<strong>on</strong>g> Resident: TotalAll-health spending provides a c<strong>on</strong>text for spending <strong>on</strong> behavioral health. <str<strong>on</strong>g>State</str<strong>on</strong>g>s with high levels ofall-health spending per resident are more likely to have high levels of MHSA treatment spending perresident; c<strong>on</strong>versely, <str<strong>on</strong>g>State</str<strong>on</strong>g>s with low levels of all-health spending per resident are more likely tohave low levels of MHSA treatment spending per resident.Ec<strong>on</strong>omy: Pers<strong>on</strong>al Income per <str<strong>on</strong>g>State</str<strong>on</strong>g> ResidentPers<strong>on</strong>al income per <str<strong>on</strong>g>State</str<strong>on</strong>g> resident 2 is an indicator of the amount of m<strong>on</strong>ey available to spend <strong>on</strong> allhealth and behavioral health care as well as a gauge of health care costs in a specific area. Itincludes not <strong>on</strong>ly wages earned, but also the value of Social Security, Medicare, and Medicaidbenefits. Like health care spending, pers<strong>on</strong>al income per pers<strong>on</strong> varies widely by <str<strong>on</strong>g>State</str<strong>on</strong>g>. <str<strong>on</strong>g>State</str<strong>on</strong>g>s withhigher pers<strong>on</strong>al income will typically spend a higher proporti<strong>on</strong> of their income <strong>on</strong> health care.<str<strong>on</strong>g>State</str<strong>on</strong>g>s with lower pers<strong>on</strong>al income will experience more competiti<strong>on</strong> am<strong>on</strong>g basic needs forpers<strong>on</strong>al income resources, driving down the share of income devoted to health spending. Pers<strong>on</strong>alincome also reflects the wage structure of a <str<strong>on</strong>g>State</str<strong>on</strong>g> because wages are a significant porti<strong>on</strong> of1 Relative to the U.S. average, values were defined as: substantially below (less than 70 percent), below(between 70 and 90 percent), close to (between 90 and 110 percent), above (between 110 percent and 130percent), or substantially above (over 130 percent).2 http://www.bea.gov/regi<strong>on</strong>al/pdf/spi2009/Complete_Methodology.pdf1