Smith Kelley, Milazzo-Sayre Laura
The National Mental Health Services Survey (N-MHSS) is an annual survey conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA) of all known public and private mental health treatment facilities in the United States, the District of Columbia, and other U.S. jurisdictions. In the 2010 N-MHSS, data were collected from: psychiatric hospitals; nonfederal general hospitals with a separate psychiatric unit; U.S. Department of Veterans Affairs (VA) medical centers; outpatient or day treatment or partial hospitalization mental health facilities; residential treatment centers (RTCs) for children; RTCs for adults; and multisetting (nonhospital) mental health facilities. Excluded were Department of Defense military treatment facilities; facilities administered by the Indian Health Service; tribally-operated facilities; private practitioners and small group practices not licensed as mental health clinics or centers; and jails or prisons. In 2010, 10,374 eligible facilities responded to the N-MHSS and reported a 1-day census of 3,186,636 clients enrolled in mental health treatment on April 30, 2010. 67% of facilities surveyed were operated by private nonprofit entities, about 10 percent were operated by private for-profit entities, and the remainder were operated by state, local, or regional/district governments or authorities or the Department of Veterans Affairs (VA). 61% of facilities were outpatient or day treatment or partial hospitalization facilities, 18% were psychiatric hospitals or psychiatric units within general hospitals, 16% were residential treatment centers, 3 percent were multisetting nonhospital facilities, and slightly more than 2% were facilities operated by the VA. More than 75% accepted Medicaid, client/patient fees, or private insurance. About 61% of facilities offered a sliding-fee scale or treatment at no charge. About 63% and 58% of facilities offered special treatment programs for adults with serious mental illness or individuals with co-occurring mental health and substance use disorders, respectively. These N-MHSS data can be used to conduct comparative analyses and forecast future resource needs and are used to update the information in the mental health component of SAMHSA's online Behavioral Health Treatment Services Locator (http://findtreatment.samhsa.gov/), a searchable database of licensed and accredited public and private mental health treatment facilities.
国家心理健康服务调查（N-MHSS）是一项年度调查，由药物滥用和心理健康服务管理局（SAMHSA）对美国、哥伦比亚特区及其他美国司法管辖区内所有已知的公立和私立心理健康治疗机构开展。在2010年的N-MHSS中，数据收集自：精神病医院；设有独立精神科病房的非联邦综合医院；美国退伍军人事务部（VA）医疗中心；门诊或日间治疗或部分住院的心理健康机构；儿童住院治疗中心（RTCs）；成人住院治疗中心；以及多场所（非医院）心理健康机构。排除在外的有国防部军事治疗设施；印第安卫生服务局管理的设施；部落运营的设施；未获心理健康诊所或中心许可的私人执业者和小型团体诊所；以及监狱。2010年，10374家符合条件的机构对N-MHSS做出回应，并报告了2010年4月30日登记接受心理健康治疗的3186636名客户的1日普查情况。接受调查的机构中，67%由私人非营利实体运营，约10%由私人营利实体运营，其余由州、地方或地区/行政区政府或当局或退伍军人事务部（VA）运营。61%的机构为门诊或日间治疗或部分住院设施，18%为精神病医院或综合医院内的精神科病房，16%为住院治疗中心，3%为多场所非医院设施，略多于2%为由VA运营的设施。超过75%的机构接受医疗补助、客户/患者费用或私人保险。约61%的机构提供按比例调整费用的收费标准或免费治疗。约63%和58%的机构分别为患有严重精神疾病的成年人或同时患有心理健康和物质使用障碍的个人提供特殊治疗项目。这些N-MHSS数据可用于进行比较分析和预测未来资源需求，并用于更新SAMHSA在线行为健康治疗服务定位器（http://findtreatment.samhsa.gov/）心理健康部分的信息，该定位器是一个可搜索的已获许可和认证的公立和私立心理健康治疗机构数据库。
