The behavioral healthcare continuum in the United States: what should it look like and how we can pay for it.

IF 3.4 3区 医学 Q2 CLINICAL NEUROLOGY
Elinore F McCance-Katz
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引用次数: 0

Abstract

Increasing numbers of Americans are affected by serious mental illness and severe substance use disorders. While funding has increased for the treatment of these conditions in recent years, increases in service needs have outstripped resources. Further, too often those living with these conditions are incarcerated, held for inordinate periods without treatment in emergency departments, and/or relegated to the streets as part of the burgeoning numbers of homeless in the United States. These conditions require innovative approaches to care that should include integrated medical care and community resources to decrease isolation and to improve the response to crises as they occur. There are numerous opportunities already in place that, used appropriately, can improve outcomes for some of our most vulnerable people and will improve community living for all. This perspective describes available resources that can better address the mental health and substance use crisis facing the American people.

行为保健连续体:它应该是什么样子以及我们如何支付它。
越来越多的美国人受到严重精神疾病和严重药物使用障碍的影响。虽然近年来用于治疗这些疾病的资金有所增加,但服务需求的增加超过了资源。此外,生活在这些条件下的人往往被监禁,在急诊室得不到治疗的时间过长,和/或沦落到街头,成为美国不断增加的无家可归者的一部分。这些情况需要创新的护理方法,其中应包括综合医疗保健和社区资源,以减少孤立,并在危机发生时改善应对措施。现在已经有许多机会,如果利用得当,可以改善我们一些最弱势群体的结果,并将改善所有人的社区生活。这一观点描述了可以更好地解决美国人民面临的精神健康和药物使用危机的可用资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CNS Spectrums
CNS Spectrums 医学-精神病学
CiteScore
6.20
自引率
6.10%
发文量
239
审稿时长
>12 weeks
期刊介绍: CNS Spectrums covers all aspects of the clinical neurosciences, neurotherapeutics, and neuropsychopharmacology, particularly those pertinent to the clinician and clinical investigator. The journal features focused, in-depth reviews, perspectives, and original research articles. New therapeutics of all types in psychiatry, mental health, and neurology are emphasized, especially first in man studies, proof of concept studies, and translational basic neuroscience studies. Subject coverage spans the full spectrum of neuropsychiatry, focusing on those crossing traditional boundaries between neurology and psychiatry.
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