Larson Mary Jo, Miller Lisa, Becker Marion, Richardson Erin, Kammerer Nina, Thom Jennifer, Gampel Joanne, Savage Andrea
New England Research Institutes Inc, Watertown, MA 02472, USA.
J Behav Health Serv Res. 2005 Apr-Jun;32(2):128-40. doi: 10.1007/BF02287262.
This article documents the physical health burdens of participants in a large, federally funded cross-site study of specialized services for women with histories of trauma (physical or sexual abuse) and co-occurring substance abuse and mental health disorders. Nearly half of the 2729 women in the study (48%) reported serious physical illnesses that frequently limited their daily life activities or required them to use special equipment. Nearly half (46%) rated their health status as only fair or poor. Given the prevalence of physical illnesses in this population, behavioral service providers should discuss with clients their overall health and how it might hinder their participation in treatment for trauma, substance abuse, and mental illness, and policymakers should consider this need when designing behavioral health requirements, setting reimbursement rates, and allocating funds.
本文记录了一项由联邦政府资助的大型跨站点研究中参与者的身体健康负担，该研究针对有创伤史（身体或性虐待）、并发药物滥用和精神健康障碍的女性提供专门服务。该研究中的2729名女性中，近一半（48%）报告患有严重身体疾病，这些疾病经常限制她们的日常生活活动，或需要她们使用特殊设备。近一半（46%）的人将自己的健康状况评为一般或较差。鉴于该人群中身体疾病的普遍性，行为服务提供者应与客户讨论其整体健康状况，以及这可能如何阻碍她们参与创伤、药物滥用和精神疾病的治疗，政策制定者在设计行为健康要求、设定报销率和分配资金时应考虑到这一需求。
