Halmer Thiago C, Beall Rakel C, Shah Asim A, Dark Cedric
Emergency Medicine, Baylor College of Medicine, 1504 Taub Loop I, Houston, TX 77030, USA.
Psychiatry & Behavioral Sciences, Baylor College of Medicine, Menninger Department of Psychiatry, One Baylor Plaza - BCM350, Houston, TX 77030, USA.
Emerg Med Clin North Am. 2015 Nov;33(4):875-91. doi: 10.1016/j.emc.2015.07.013.
In recent years, health care providers have sounded the call that the US mental health system is in crisis. With decreases in funding and eroding access to care, the availability of psychiatric services has become increasingly limited, failing to meet growing needs. This article provides a brief history of mental health services in the United States and describes the current landscape of US psychiatric care; it touches upon some of the most important policy considerations, describing some of the glaring issues in US mental health care today. Last, it offers some potential remedies to improve care in acute behavioral emergencies.
近年来，医疗服务提供者们发出呼声，称美国心理健康系统正处于危机之中。随着资金减少和就医机会不断缩减，精神科服务的可及性变得越来越有限，无法满足日益增长的需求。本文简要介绍了美国心理健康服务的历史，并描述了美国精神科护理的现状；探讨了一些最重要的政策考量因素，阐述了当今美国心理健康护理中一些突出的问题。最后，本文提出了一些在急性行为紧急情况中改善护理的潜在补救措施。
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