青少年住院和住院治疗精神病床位:2010-2022年全国趋势和潜在原因。

IF 3.3 3区 医学 Q1 HEALTH POLICY & SERVICES
Psychiatric services Pub Date : 2025-04-01 Epub Date: 2025-01-30 DOI:10.1176/appi.ps.20240200
Sushmita Shoma Ghose, Sarah Beehler, Debra A Pinals, Laura Crocker, Tabitha Hoey, N Phil Masiakowski, Howard Goldman, Mustafa Karakus, Tison Thomas, Nikhil A Patel
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引用次数: 0

摘要

目的:青少年住院和住院治疗精神科服务是连续护理的重要组成部分。人们越来越关注这些服务的可用性减少和对它们的需求增加。本研究旨在调查在12年期间在住院和住院精神病院接受治疗的青少年人数,并评估州精神卫生当局(SMHAs)对可获得性变化原因的看法。方法:在这项多模式研究中,作者对一项全国调查(包括所有50个州、华盛顿特区和波多黎各)进行了二次分析,该调查在2010年至2022年期间进行了七次管理。此外,该研究依赖于对smha (N=34名受访者)调查的2023年数据。结果:大多数州的住院青少年人数(79%)和住院精神病治疗设施(94%)有所下降。尽管有些人认为门诊服务的增加可以解释这种下降,但在研究期间,81%的州减少了对青少年的社区门诊精神科护理。地方卫生机构报告说,2019冠状病毒病大流行的影响和先前存在的劳动力短缺导致接受治疗的青年人数减少。结论:这些发现表明,随着时间的推移,在全国范围内接受住院和住院治疗的青少年人数有所下降。确定这些下降的原因是具有挑战性的,对于需要服务的青年人数和每个州解决青年需求的能力,建立一个监测和报告系统至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Youth Inpatient and Residential Treatment Psychiatric Beds: National Trends and Potential Causal Factors, 2010-2022.

Objective: Youth inpatient and residential treatment psychiatric services are essential components of the continuum of care. Concern has grown about the diminished availability of these services and the increasing need for them. This study aimed to examine the number of youths treated at inpatient and residential psychiatric facilities over a 12-year period and to assess the perceptions of state mental health authorities (SMHAs) about the reasons for changes in availability.

Methods: In this multimodal study, the authors conducted a secondary analysis of a national survey (including all 50 states, Washington, D.C., and Puerto Rico) of mental health facilities that was administered seven times between 2010 and 2022. In addition, the study relied on 2023 data from a survey of SMHAs (N=34 respondents).

Results: Most states experienced a decline in the number of youths in inpatient (79%) and residential treatment psychiatric facilities (94%). Although some people posit that increased use of outpatient services may explain such declines, 81% of states had a reduction in community outpatient psychiatric care for youths during the study period. SMHAs reported that the impact of the COVID-19 pandemic and preexisting workforce shortages contributed to the reduction of youths treated.

Conclusions: These findings show a nationwide decline in the number of youths treated in inpatient and residential treatment psychiatric facilities over time. Determining causal factors in these declines is challenging, and it is critical to develop a monitoring and reporting system for the number of youths requiring services and the capacity within each state for addressing youth needs.

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来源期刊
Psychiatric services
Psychiatric services 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.80
自引率
7.90%
发文量
295
审稿时长
3-8 weeks
期刊介绍: Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
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