Kapphahn Cynthia, Morreale Madlyn, Rickert Vaughn I, Walker Leslie
Division of Adolescent Medicine, Stanford University School of Medicine, Mountain View, California 94040, USA.
J Adolesc Health. 2006 Sep;39(3):318-27. doi: 10.1016/j.jadohealth.2006.06.002.
Good mental health provides an essential foundation for normal growth and development through adolescence and into adulthood. Many adolescents, however, experience mental health problems that significantly impede the attainment of their full potential. The majority of these adolescents do not receive needed mental health services, in part because of financial obstacles to care. This article reviews the magnitude and impact of mental health problems during adolescence and highlights the importance of insurance coverage in assuring access to mental health services for adolescents. Significant limitations in private health insurance coverage of mental health services are outlined. Recent federal and state efforts to move toward parity in private insurance coverage between mental and physical health services are discussed, including an explanation of the role of Medicaid and the State Children's Health Insurance Program (SCHIP) in providing access to mental health services for adolescents. Finally, other elements that would facilitate financial access to essential mental health services for adolescents are presented.
良好的心理健康为青少年直至成年期的正常成长和发展提供了重要基础。然而，许多青少年经历心理健康问题，这严重阻碍了他们充分发挥自身潜力。这些青少年中的大多数没有获得所需的心理健康服务，部分原因是护理存在经济障碍。本文回顾了青少年心理健康问题的严重程度和影响，并强调了保险覆盖在确保青少年获得心理健康服务方面的重要性。概述了私人医疗保险对心理健康服务覆盖的重大局限性。讨论了近期联邦和州在推动私人保险对心理健康服务和身体健康服务覆盖实现平等方面所做的努力，包括对医疗补助和儿童健康保险计划（SCHIP）在为青少年提供心理健康服务方面作用的解释。最后，介绍了有助于青少年在经济上获得基本心理健康服务的其他因素。
