Selby-Nelson Emily M, Bradley Joshua M, Schiefer Rebekah A, Hoover-Thompson Alysia
Cabin Creek Health Systems.
Tri-Area Community Health.
Fam Syst Health. 2018 Dec;36(4):528-534. doi: 10.1037/fsh0000352. Epub 2018 Aug 2.
Current and developing models of integrated behavioral health service delivery have proven successful for the general population; however, these approaches may not sufficiently address the unique needs of individuals living in rural and remote areas. For all communities to benefit from the opportunities that the current trend toward integration has provided, it is imperative that cultural and contextual factors be considered determining features in care delivery. Rural integrated primary care practice requires specific training, expertise, and adjustments to service delivery and intervention to best meet the needs of rural and underserved communities. In this commentary, the authors present trends in integrated behavioral health service delivery in rural integrated primary care settings. Flexible and creative strategies are proposed to promote increased access to integrated behavioral health services, while simultaneously addressing patient care needs that arise as a result of the barriers to treatment that are prevalent in rural communities. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
当前和正在发展的综合行为健康服务提供模式已被证明对普通人群是成功的；然而，这些方法可能无法充分满足生活在农村和偏远地区的个人的独特需求。为了让所有社区都能从当前整合趋势所带来的机遇中受益，在提供护理时必须将文化和背景因素视为决定性特征。农村综合初级保健实践需要特定的培训、专业知识，以及对服务提供和干预进行调整，以最好地满足农村和服务不足社区的需求。在这篇评论中，作者介绍了农村综合初级保健环境中综合行为健康服务提供的趋势。提出了灵活且富有创造性的策略，以促进增加获得综合行为健康服务的机会，同时解决因农村社区普遍存在的治疗障碍而产生的患者护理需求。（PsycINFO数据库记录（c）2018美国心理学会，保留所有权利）
