Asarnow Joan Rosenbaum, Hoagwood Kimberly E, Stancin Terry, Lochman John E, Hughes Jennifer L, Miranda Jeanne M, Wysocki Tim, Portwood Sharon G, Piacentini John, Tynan Douglas, Atkins Marc, Kazak Anne E
a Psychiatry & Biobehavioral Sciences , University of California , Los Angeles.
b Department of Child and Adolescent Psychiatry , New York University School of Medicine.
J Clin Child Adolesc Psychol. 2015;44(6):923-32. doi: 10.1080/15374416.2015.1077451.
Recent health care legislation and shifting health care financing strategies are transforming health and behavioral health (a broad term referring to mental health, substance use, and health behavior) care in the United States. Advances in knowledge regarding effective treatment and services coupled with incentives for innovation in health and behavioral health care delivery systems make this a unique time for mobilizing our science to enhance the success of health and behavioral health care redesign. To optimize the potential of our current health care environment, a team was formed composed of leaders from the Societies of Clinical Child & Adolescent Psychology, Pediatric Psychology, and Child and Family Policy and Practice (Divisions 53, 54, and 37 of the American Psychological Association). This team was charged with reviewing the scientific and policy literature with a focus on five major issues: (a) improving access to care and reducing health disparities, (b) integrating behavioral health care within primary care, (c) preventive services, (d) enhancing quality and outcomes of care, and (e) training and workforce development. The products of that work are summarized here, including recommendations for future research, clinical, training, and policy directions. We conclude that the current emphasis on accountable care and evaluation of the outcomes of care offer numerous opportunities for psychologists to integrate science and practice for the benefit of our children, families, and nation. The dramatic changes that are occurring in psychological and behavioral health care services and payment systems also require evolution in our practice and training models.
近期的医疗保健立法以及不断变化的医疗保健融资策略正在改变美国的健康与行为健康（一个宽泛的术语，涵盖心理健康、物质使用及健康行为）护理状况。关于有效治疗和服务的知识进步，再加上对健康与行为健康护理提供系统创新的激励措施，使得当下成为调动我们的科学力量以提高健康与行为健康护理重新设计成功率的独特时机。为了优化当前医疗保健环境的潜力，一个由临床儿童与青少年心理学协会、儿科心理学协会以及儿童与家庭政策及实践协会（美国心理学会第53、54和37分会）的领导人组成的团队成立了。该团队负责审查科学和政策文献，重点关注五个主要问题：（a）改善医疗服务可及性并减少健康差距；（b）将行为健康护理纳入初级保健；（c）预防服务；（d）提高护理质量和结果；（e）培训与劳动力发展。此处总结了该项工作的成果，包括对未来研究、临床、培训及政策方向的建议。我们得出结论，当前对可问责护理和护理结果评估的重视为心理学家整合科学与实践以造福我们的儿童、家庭和国家提供了众多机会。心理和行为健康护理服务及支付系统正在发生的巨大变化也要求我们的实践和培训模式有所发展。
