Supporting older-adult behavioral health: building the first state Center of Excellence for Behavioral Health and Aging.

IF 2.7
Health affairs scholar Pub Date : 2025-09-02 eCollection Date: 2025-09-01 DOI:10.1093/haschl/qxaf175
Walter D Dawson, Allyson Stodola, Paula Carder, Karen Cellarius, Lindsey Smith, Leah Brandis, Mary Oschwald, Annette M Totten, Dana Womack, Vimal Aga, Julia Unsworth, Laura K Byerly, Joanne Spetz, Maureen Nash, Nirmala Dhar, Keren Brown Wilson, Teresa Hogue, Brenda Sulick, Robyn Stone, Frederic C Blow, Jordan P Lewis, Keith Chan, Erin E Emery-Tiburcio, Helen Lavretsky
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Abstract

Introduction: The behavioral health (BH) needs of older adults are unique, increasing, and, too often, poorly understood.

Methods: Oregon established the first state-level center of excellence in the United States focused on the BH of older adults via a state-university-community partnership. Oregon's Center of Excellence for Behavioral Health and Aging (OCEBHA) was conceptualized by the state health authority and initially funded using a block grant from the Substance Abuse and Mental Health Services Administration.

Results: OCEBHA seeks to expand the capacity of health and social programs and providers to deliver BH services for older adults with serious mental illness and substance use disorders through translational research, workforce development, and policy innovation.

Conclusion: This review article describes the United States' and Oregon's BH and aging landscape, highlighting the disconnects between research evidence, clinical treatment/intervention, and policy implementation. It outlines the rationale for establishing centers like OCEBHA, which was designed to bridge these gaps. By detailing OCEBHA's structure and focus areas-translational research, workforce development, and policy innovation-the article shows how this model can help align evidence-based practices with service delivery and policy. It also offers a roadmap for other states seeking to strengthen support for older adults with BH needs.

支持老年人行为健康:建立第一个国家行为健康和老龄化卓越中心。
老年人的行为健康(BH)需求是独特的,不断增加的,而且往往不被理解。方法:俄勒冈州通过州-大学-社区合作关系建立了美国第一个专注于老年人BH的国家级卓越中心。俄勒冈州行为健康和老龄化卓越中心(OCEBHA)是由州卫生当局构想的,最初是由物质滥用和精神健康服务管理局提供的一笔赠款资助的。结果:OCEBHA寻求通过转化研究、劳动力发展和政策创新,扩大健康和社会项目和提供者的能力,为患有严重精神疾病和物质使用障碍的老年人提供BH服务。结论:这篇综述文章描述了美国和俄勒冈州的BH和老龄化状况,强调了研究证据、临床治疗/干预和政策实施之间的脱节。它概述了建立像OCEBHA这样旨在弥合这些差距的中心的基本原理。通过详细介绍OCEBHA的结构和重点领域——转化研究、劳动力发展和政策创新——本文展示了该模型如何帮助将基于证据的实践与服务交付和政策结合起来。它还为寻求加强对有BH需求的老年人的支持的其他国家提供了路线图。
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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