Budin John, Boslaugh Sarah, Beckett Emily, Winiarski Mark G
Community Ment Health J. 2004 Aug;40(4):365-78. doi: 10.1023/b:comh.0000035230.20900.59.
We identify the psychiatric diagnoses and utilization patterns of HIV-positive persons of color who received culturally responsive mental health services integrated into a community medical clinic. Ninety-three patients were referred and 86% (n = 80) appeared for at least one encounter. Hispanics, compared with African-Americans, and HIV patients, compared with AIDS patients, were more likely to receive psychotropic prescriptions. Patients with six or more visits were defined as high utilizers: they comprised 27.5% of the patients but used 67.3% of the services. Development of a broader range of psychiatric interventions that address diagnoses, utilization, and psychotropics will better meet these patients' needs.
我们确定了接受融入社区医疗诊所的具有文化适应性心理健康服务的有色人种艾滋病毒阳性者的精神疾病诊断和使用模式。93名患者被转诊，86%（n = 80）至少就诊过一次。与非裔美国人相比，西班牙裔，以及与艾滋病患者相比，艾滋病毒患者更有可能接受精神药物处方。就诊六次或以上的患者被定义为高使用者：他们占患者总数的27.5%，但使用了67.3%的服务。开发更广泛的针对诊断、使用情况和精神药物的精神科干预措施将更好地满足这些患者的需求。
