Department of Health Policy and Management, University of North Carolina, Chapel Hill, NC 27599-7411, USA.
Psychiatr Serv. 2010 Aug;61(8):759-64. doi: 10.1176/ps.2010.61.8.759.
The federal government boosted support for community health centers in medically underserved areas in 2002-2007. This investigation compared trends in behavioral health services provided by community health centers nationwide during the first several years of that initiative with immediately prior trends.
Data were extracted from the Health Resources and Services Administration's Uniform Data System on community health centers for 1998-2007 (2007, N=1,067). Regression analyses revealed trends in individual community health centers' likelihood of providing on-site specialty mental health care, crisis services, and substance abuse treatment. Aggregate data were used to show national trends in numbers of behavioral health encounters, patients, and encounters per patient.
The number of federally funded community health centers increased 43% between 2001 and 2007, from 748 to 1,067, over twice the annual growth rate between 1998 and 2001. However, trends in individual community health centers' likelihood of providing different types of behavioral health care were generally consistent across the two time periods. In 2007, 77% of community health centers offered specialty mental health services, 20% offered 24-hour crisis intervention services, and 51% offered substance abuse treatment. The mean number of mental health encounters per mental health patient at community health centers in 2007 was 2.9.
The behavioral health care safety net has widened through rapid recent growth in the number of community health centers as well as a continuing increase in the proportion offering specialty mental health services.
2002-2007 年期间，联邦政府增加了对医疗服务不足地区社区卫生中心的支持。本研究比较了该倡议实施的前几年，全美社区卫生中心提供的行为健康服务趋势与之前的趋势。
数据来自卫生资源与服务管理局的社区卫生中心统一数据系统，涵盖 1998-2007 年（2007 年，N=1067）。回归分析揭示了个别社区卫生中心提供现场专业精神卫生保健、危机服务和药物滥用治疗的可能性的趋势。汇总数据用于显示全国行为健康就诊人数、患者人数和每位患者的就诊次数的趋势。
2001 年至 2007 年期间，联邦资助的社区卫生中心数量增加了 43%，从 748 家增加到 1067 家，是 1998 年至 2001 年期间年增长率的两倍多。然而，个别社区卫生中心提供不同类型行为健康服务的可能性的趋势在两个时期基本一致。2007 年，77%的社区卫生中心提供专业精神卫生服务，20%提供 24 小时危机干预服务，51%提供药物滥用治疗。2007 年，社区卫生中心每位精神健康患者的平均精神健康就诊次数为 2.9 次。
通过社区卫生中心数量的快速增长以及提供专业精神卫生服务比例的持续增加，行为健康护理的安全网已经扩大。
