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建设治疗重度精神疾病成年人所需的心理健康劳动力能力。

Building The Mental Health Workforce Capacity Needed To Treat Adults With Serious Mental Illnesses.

作者信息

Olfson Mark

机构信息

Mark Olfson (

出版信息

Health Aff (Millwood). 2016 Jun 1;35(6):983-90. doi: 10.1377/hlthaff.2015.1619.

Abstract

There are widespread shortages of mental health professionals in the United States, especially for the care of adults with serious mental illnesses. Such shortages are aggravated by maldistribution of mental health professionals and attractive practice opportunities treating adults with less severe conditions. The Affordable Care Act (ACA) and legislation extending mental health parity coverage are contributing to an increasing demand for mental health services. I consider four policy recommendations to reinvigorate the mental health workforce to meet the rising mental health care demand by adults with serious mental illnesses: expanding loan repayment programs for mental health professionals to practice in underserved areas; raising Medicaid reimbursement for treating serious mental illness; increasing training opportunities for social workers in relevant evidence-based psychosocial services; and disseminating service models that integrate mental health specialists as consultants in general medical care. Achieving progress in attracting mental health professionals to care for adults with serious mental illnesses will require vigorous policy interventions.

摘要

美国心理健康专业人员普遍短缺,尤其是在照顾患有严重精神疾病的成年人方面。心理健康专业人员分布不均以及有吸引力的治疗病情较轻成年人的执业机会,加剧了这种短缺。《平价医疗法案》(ACA)以及扩大心理健康平价保险范围的立法,导致对心理健康服务的需求不断增加。我考虑了四项政策建议,以振兴心理健康劳动力队伍,满足患有严重精神疾病的成年人日益增长的心理健康护理需求:扩大针对在服务不足地区执业的心理健康专业人员的贷款偿还计划;提高医疗补助对治疗严重精神疾病的报销额度;增加社会工作者在相关循证心理社会服务方面的培训机会;以及推广将心理健康专家作为普通医疗护理顾问纳入其中的服务模式。要在吸引心理健康专业人员照顾患有严重精神疾病的成年人方面取得进展,需要有力的政策干预。

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