Health Aff (Millwood). 2013 Oct;32(10):1846-50. doi: 10.1377/hlthaff.2013.0479.
Roughly half of all people with severe mental disorders also have substance abuse problems. Yet their care is fragmented: They are treated by either the mental health system or the substance abuse system. In New York State only 10 percent of them receive evidence-based treatment for both conditions. Beginning in 2007 the New York State Health Foundation and two state agencies--the Office of Mental Health and the Office of Alcoholism and Substance Abuse Services--began collaborating on ways to integrate the treatment of people with co-occurring disorders. The state agencies removed financial and regulatory barriers to integrated treatment. The foundation provided funding to establish the Center for Excellence in Integrated Care. The center's goal: provide hands-on assistance in implementing best practices to at least half of the state's 1,200 mental health and substance abuse treatment clinics. An evaluation found that the percentage of clinics using best practices doubled after the regulatory and financial changes and the center's intervention. This illustrates the potential that foundations, governments, and nonprofits, working collaboratively, have to improve the care of a neglected and difficult-to-serve population.
大约有一半的严重精神障碍患者也有药物滥用问题。然而，他们的治疗是分散的：他们要么接受心理健康系统的治疗，要么接受药物滥用系统的治疗。在纽约州，只有 10%的患者同时接受这两种疾病的循证治疗。从 2007 年开始，纽约州健康基金会和两个州立机构——心理健康办公室和酒精和药物滥用服务办公室——开始合作，探索整合共病患者治疗的方法。州立机构消除了综合治疗的财务和监管障碍。基金会提供资金成立了卓越综合护理中心。该中心的目标是：为该州 1200 家精神健康和药物滥用治疗诊所中的至少一半提供实施最佳实践的实际帮助。一项评估发现，在监管和财务变革以及该中心的干预之后，使用最佳实践的诊所比例翻了一番。这说明了基金会、政府和非营利组织合作，有潜力改善对一个被忽视和难以服务的人群的护理。
