心理健康、药物使用和问题赌博服务的运行状况:COVID-19 大流行两年后的系统快照。

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES
Sherry Hao, Arthur McLuhan, Gary Moloney, Nerinderjit Kaur, Rahim Moineddin, Nigel E. Turner, Flora I. Matheson
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引用次数: 0

摘要

背景:本文旨在提供加拿大安大略省精神健康、药物使用和问题赌博服务在大流行病发生两年后的系统级运行状况快照,特别关注针对经历脆弱环境(如无家可归和法律问题)的个人的服务:我们研究了安大略省 6038 家提供心理健康、药物使用和问题赌博服务的公共资助社区服务机构的数据。我们使用描述性统计来描述服务类型和服务提供专业化的计数和百分比。我们制作了交叉表,分析每个目标人群的服务状况与服务类型之间的关系:截至 2022 年 3 月,38.4%(n = 2321)的服务仍在全面运作,其中包括 36.0%(n = 1492)的精神健康服务、44.1%(n = 1037)的药物使用服务和 23.4%(n = 78)的问题赌博服务。在针对性/性别认同(女性/女孩、男性/男孩、2SLGBTQQIA + 个人)、有法律问题的个人、后天性脑损伤以及无家可归者的服务中,这些服务中断现象也很明显:可获得的社区心理健康、药物使用和问题赌博服务是至关重要的支持,尤其是对于那些与普通人群相比需求更高、障碍更多的社区而言。我们讨论了研究结果对正在进行的大流行病应对和未来社区心理健康、药物使用和问题赌博服务应急准备规划的公共卫生影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Operational status of mental health, substance use, and problem gambling services: A system-level snapshot two years into the COVID-19 pandemic

Operational status of mental health, substance use, and problem gambling services: A system-level snapshot two years into the COVID-19 pandemic

Background

The aim of this paper is to provide a system-level snapshot of the operational status of mental health, substance use, and problem gambling services 2 years into the pandemic in Ontario, Canada, with a specific focus on services that target individuals experiencing vulnerable circumstances (e.g., homelessness and legal issues).

Methods

We examined data from 6038 publicly funded community services that provide mental health, substance use, and problem gambling services in Ontario. We used descriptive statistics to describe counts and percentages by service type and specialisation of service delivery. We generated cross-tabulations to analyse the relationship between the service status and service type for each target population group.

Results

As of March 2022, 38.4% (n = 2321) of services were fully operational, including 36.0% (n = 1492) of mental health, 44.1% (n = 1037) of substance use, and 23.4% (n = 78) of problem gambling services. These service disruptions were also apparent among services tailored to sexual/gender identity (women/girls, men/boys, 2SLGBTQQIA + individuals), individuals with legal issues, with acquired brain injury, and those experiencing homelessness.

Conclusion

Accessible community-based mental health, substance use and problem gambling services are critical supports, particularly for communities that have historically contended with higher needs and greater barriers to care relative to the general population. We discuss the public health implications of the findings for the ongoing pandemic response and future emergency preparedness planning for community-based mental health, substance use and problem gambling services.

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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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