在转型后的心理健康系统中为同时患有多种疾病的客户提供服务的障碍。
Barriers to serving clients with co-occurring disorders in a transformed mental health system.
作者信息
Padwa Howard, Guerrero Erick G, Braslow Joel T, Fenwick Karissa M
机构信息
Dr. Padwa and Dr. Braslow are with the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (e-mail:
出版信息
Psychiatr Serv. 2015 May 1;66(5):547-50. doi: 10.1176/appi.ps.201400190. Epub 2015 Feb 17.
OBJECTIVE
The publication of the President's New Freedom Commission Report in 2003 led to hope and anticipation that system transformation would address barriers that have impeded the delivery of integrated services for clients with co-occurring mental health and substance use disorders. Have problems been resolved? This study analyzed providers' perspectives on serving clients with co-occurring disorders in a large mental health system that has undergone transformation.
METHODS
Six focus groups were conducted with providers at specialty mental health treatment organizations that received funding to transform services. Using content analysis, the authors identified major themes of the focus group discussions.
RESULTS
Participants reported several barriers within the mental health system and challenges associated with collaborating with specialty substance abuse treatment providers that impede the delivery of integrated care.
CONCLUSIONS
In spite of efforts to improve co-occurring disorder service delivery in a transformed mental health system, barriers that have historically impeded integrated treatment persist.
目的
2003年总统新自由委员会报告的发布带来了希望和期待，即系统转型将消除阻碍为同时患有精神健康和物质使用障碍的患者提供综合服务的障碍。问题得到解决了吗？本研究分析了在一个已进行转型的大型精神卫生系统中，提供者对为同时患有多种障碍的患者提供服务的看法。
方法
与接受资金以转型服务的专业精神卫生治疗机构的提供者进行了6次焦点小组讨论。作者采用内容分析法，确定了焦点小组讨论的主要主题。
结果
参与者报告了精神卫生系统内的几个障碍，以及与专业药物滥用治疗提供者合作时存在的挑战，这些障碍阻碍了综合护理的提供。
结论
尽管努力在转型的精神卫生系统中改善对同时患有多种障碍的患者的服务，但历来阻碍综合治疗的障碍依然存在。
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