将精神健康和物质使用治疗与急诊和初级保健相结合：阿片类药物使用障碍和自杀的案例。

IF 4.8 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Milbank Quarterly Pub Date : 2025-06-18 DOI:10.1111/1468-0009.70028

Noa Krawczyk, Hillary Samples

{"title":"将精神健康和物质使用治疗与急诊和初级保健相结合：阿片类药物使用障碍和自杀的案例。","authors":"Noa Krawczyk, Hillary Samples","doi":"10.1111/1468-0009.70028","DOIUrl":null,"url":null,"abstract":"Policy Points There have been significant advancements in expanding care for opioid use disorder and suicide in general medical settings in the first quarter of the 21st century. Incessant barriers in the US health system continue to hinder progress in sufficiently scaling up evidence-based behavioral health interventions and getting them to those at highest risk. State policymakers have multiple levers available to make significant improvements to address ongoing challenges and improve access to evidence-based behavioral health services in emergency and primary care settings.","PeriodicalId":49810,"journal":{"name":"Milbank Quarterly","volume":" ","pages":""},"PeriodicalIF":4.8000,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Integrating Mental Health and Substance Use Treatment With Emergency and Primary Care: the Case of Opioid Use Disorder and Suicide.\",\"authors\":\"Noa Krawczyk, Hillary Samples\",\"doi\":\"10.1111/1468-0009.70028\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Policy Points There have been significant advancements in expanding care for opioid use disorder and suicide in general medical settings in the first quarter of the 21st century. Incessant barriers in the US health system continue to hinder progress in sufficiently scaling up evidence-based behavioral health interventions and getting them to those at highest risk. State policymakers have multiple levers available to make significant improvements to address ongoing challenges and improve access to evidence-based behavioral health services in emergency and primary care settings.\",\"PeriodicalId\":49810,\"journal\":{\"name\":\"Milbank Quarterly\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.8000,\"publicationDate\":\"2025-06-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Milbank Quarterly\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/1468-0009.70028\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Milbank Quarterly","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/1468-0009.70028","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

摘要

21世纪头25年，在一般医疗环境中扩大对阿片类药物使用障碍和自杀的护理方面取得了重大进展。美国卫生系统中不断出现的障碍继续阻碍着在充分扩大基于证据的行为卫生干预措施并将其提供给最高风险人群方面取得进展。国家决策者有多种手段可用于作出重大改进，以应对当前的挑战，并在急诊和初级保健环境中改善获得循证行为保健服务的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Integrating Mental Health and Substance Use Treatment With Emergency and Primary Care: the Case of Opioid Use Disorder and Suicide.

Policy Points There have been significant advancements in expanding care for opioid use disorder and suicide in general medical settings in the first quarter of the 21st century. Incessant barriers in the US health system continue to hinder progress in sufficiently scaling up evidence-based behavioral health interventions and getting them to those at highest risk. State policymakers have multiple levers available to make significant improvements to address ongoing challenges and improve access to evidence-based behavioral health services in emergency and primary care settings.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Milbank Quarterly 医学-卫生保健

CiteScore

9.60

自引率

3.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Milbank Quarterly is devoted to scholarly analysis of significant issues in health and health care policy. It presents original research, policy analysis, and commentary from academics, clinicians, and policymakers. The in-depth, multidisciplinary approach of the journal permits contributors to explore fully the social origins of health in our society and to examine in detail the implications of different health policies. Topics addressed in The Milbank Quarterly include the impact of social factors on health, prevention, allocation of health care resources, legal and ethical issues in health policy, health and health care administration, and the organization and financing of health care.