Cummings Janet R, Case Brady G, Ji Xu, Marcus Steven C
Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322, USA.
Health Services Research Program, Bradley Hospital, East Providence, USA.
Adm Policy Ment Health. 2016 Sep;43(5):717-727. doi: 10.1007/s10488-015-0685-2.
Despite concern about access to mental health (MH) services for youth, little is known about the specialty treatment infrastructure serving this population. We used national data to examine which types of MH treatment facilities (hospital- and community-based) were most likely to offer youth services and which types of communities were most likely to have this infrastructure. Larger (p < 0.001) and privately owned (p < 0.001) facilities were more likely to offer youth services. Rural counties, counties in which a majority of residents were nonwhite, and/or counties with a higher percentage of uninsured residents were less likely to have a community-based MH treatment facility that served youth (p < 0.001).
尽管人们对青少年获得心理健康(MH)服务的情况表示担忧,但对于为这一人群提供服务的专科治疗基础设施却知之甚少。我们利用全国数据来研究哪些类型的MH治疗机构(基于医院和社区的)最有可能提供青少年服务,以及哪些类型的社区最有可能拥有这种基础设施。规模较大的机构(p < 0.001)和私立机构(p < 0.001)更有可能提供青少年服务。农村县、大多数居民为非白人的县和/或未参保居民比例较高的县,拥有为青少年服务的社区MH治疗机构的可能性较小(p < 0.001)。