Burnam M Audrey, Watkins Katherine E
RAND, Santa Monica, California, USA.
Health Aff (Millwood). 2006 May-Jun;25(3):648-58. doi: 10.1377/hlthaff.25.3.648.
Separate public financing and regulation of substance (SA) abuse treatment distinct from mental health (MH) treatment preserves a focus on the special needs of those with substance abuse but creates challenges to providing appropriate care for the large number of people with co-occurring conditions. This paper reviews recent efforts to overcome these challenges through clinical and systems approaches that better integrate care. Although much progress has been made for some subgroups of people with co-occurring disorders, further efforts to develop and sustain clinically integrated service delivery approaches within separate systems, particularly in SA treatment settings, are needed.
将物质滥用（SA）治疗的公共融资和监管与精神健康（MH）治疗分开，这使得关注点放在了物质滥用者的特殊需求上，但在为大量同时患有这两种疾病的人提供适当护理方面带来了挑战。本文回顾了近期通过临床和系统方法更好地整合护理以克服这些挑战的努力。尽管对于一些同时患有两种疾病的亚群体已经取得了很大进展，但仍需要进一步努力在单独的系统内，特别是在物质滥用治疗环境中，开发并维持临床综合服务提供方法。
