Addressing treatment capacity of uninsured adults with co-occurring disorders

IF 0.8 Q4 PSYCHOLOGY, CLINICAL
K. Gruber, K. J. Poole, Kelly N. Graves, Antonia Monk Richburg
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Abstract

The purpose of this paper is to report on the success of an initiative involving the transformation of a group of small substance use treatment only or mental health treatment only provider agencies serving uninsured adults into providers of co-occurring disorder treatment.,The paper uses a case study narrative to describe the initiative and the transformation of the participant agencies from being providers of mental health or substance use treatment to providers of co-occurring disorders.,Six agencies serving uninsured adults expanded their scope of patient treatment services to include the capacity to treat adults with co-occurring disorders. This was achieved with modest support funding from a local foundation. The initiative has been ongoing for five years.,The outcome of this initiative demonstrates the financial and practical feasibility of improving and expanding treatment services to low-resourced patient populations. The participating agencies were able to improve their capacity to treat patients with substance use or mental health issues that previously they were not prepared to treat and thus increased their ability to provide integrated care.,The initiative described here shows that the treatment of concomitant substance use and mental health disorders is within the range of many small-scale treatment providers, if provided the leadership and support. Delivery of effective treatments to populations experiencing co-occurring disorders that are underserved and undertreated are achievable in community-based clinical practices. This has implications for developing treatment capacity outside of hospital settings to enable treatment of co-occurring disorders to become more accessible.
解决无保险成人伴发疾病的治疗能力问题
本文的目的是报告一项倡议的成功,该倡议涉及将一组仅用于小物质使用治疗或仅用于精神健康治疗的提供机构转变为为未投保的成年人提供共同发生的疾病治疗的提供者。本文使用案例研究叙述来描述这一倡议以及参与机构从精神健康或药物使用治疗提供者向共同发生的疾病提供者的转变。六家为未参保成年人服务的机构扩大了患者治疗服务的范围,包括治疗同时发生疾病的成年人的能力。这是在当地基金会的少量资助下实现的。这项倡议已经进行了五年。这一举措的结果表明,改善和扩大对资源不足的患者群体的治疗服务在财政和实际上都是可行的。参与机构能够提高它们治疗以前不准备治疗的药物使用或精神健康问题患者的能力,从而提高了它们提供综合护理的能力。这里描述的倡议表明,如果得到领导和支持,许多小规模治疗提供者都能治疗伴随药物使用和精神健康障碍。在以社区为基础的临床实践中,可以向服务和治疗不足的共存疾病人群提供有效治疗。这对发展医院外的治疗能力,使同时发生的疾病更容易获得治疗具有重要意义。
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
Advances in Dual Diagnosis
Advances in Dual Diagnosis PSYCHOLOGY, CLINICAL-
CiteScore
1.50
自引率
33.30%
发文量
15
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