Huang Frederick Y, Ziedonis Douglas M, Hu Hsou Mei, Kline Anna
Department of Psychiatry, University of California, San Francisco, San Francisco, CA 94110, USA.
Community Ment Health J. 2008 Feb;44(1):11-27. doi: 10.1007/s10597-007-9102-y. Epub 2007 Aug 10.
The current study describes a system-wide method of evaluating detection strategies for co-occurring disorders within a state mental health system. Information technology was used to merge administrative datasets from the New Jersey mental health and substance abuse systems and identify individuals treated in both systems. We measured a 53% detection rate of substance use disorders amongst adult patients in the mental health system with particularly low detection rates in acute settings (49.0%) and among female (43.7%), older (36.2%), and psychotic patients (43.6%). The methodology described here could help evaluate critical aspects of ongoing state co-occurring disorder quality improvement initiatives.
当前的研究描述了一种在州心理健康系统内评估共病障碍检测策略的全系统方法。利用信息技术合并了新泽西州心理健康和药物滥用系统的行政数据集，并确定了在这两个系统中接受治疗的个体。我们测量了心理健康系统中成年患者物质使用障碍的检出率为53%，在急性环境中检出率特别低（49.0%），在女性（43.7%）、老年患者（36.2%）和精神病患者（43.6%）中也是如此。这里描述的方法可以帮助评估正在进行的州共病障碍质量改进计划的关键方面。
