Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 21227, USA.
Psychiatr Serv. 2013 Jun;64(6):506-8. doi: 10.1176/appi.ps.201300106.
Adequate financing is essential to implementing services for individuals experiencing a first episode of a psychotic illness. Recovery After an Initial Schizophrenia Episode (RAISE), a project sponsored by the National Institute of Mental Health, is providing a practical test of the implementation and effectiveness of first-episode services in real-world settings. This column describes approaches to financing early intervention services that are being used at five of 18 U.S. sites participating in a clinical trial of a team-based, multielement RAISE intervention. The authors also describe new options for financing that will become available as the Affordable Care Act (ACA) is implemented more fully. The ACA will rationalize coverage of first-episode services, but the all-important Medicaid provisions will also require individual state action to implement services optimally.
为经历首次精神病发作的个体提供服务，充足的资金是必不可少的。由美国国家心理健康研究所（National Institute of Mental Health）资助的“首次精神病发作后康复（Recovery After an Initial Schizophrenia Episode，RAISE）”项目正在现实环境中对首次发作服务的实施和有效性进行实际检验。本专栏介绍了正在参与一项基于团队的多元素 RAISE 干预临床试验的 18 个美国站点中的 5 个站点所采用的早期干预服务的筹资方法。作者还介绍了随着平价医疗法案（Affordable Care Act，ACA）的全面实施，新的筹资选择将成为可能。ACA 将使首次发作服务的覆盖范围合理化，但至关重要的医疗补助规定也将需要各个州采取行动，以最佳方式实施服务。
