Policy Research Associates, Delmar, New York (Brandow); Collaborative Support Programs of New Jersey, Freehold (Swarbrick, Nemec); Rutgers University Behavioral Health Care, Piscataway, New Jersey (Swarbrick). Ruth S. Shim, M.D., M.P.H., and Michael T. Compton, M.D., M.P.H., are editors of this column.
Psychiatr Serv. 2020 Jan 1;71(1):89-91. doi: 10.1176/appi.ps.201900323. Epub 2019 Oct 8.
Many people with serious mental illnesses live in poverty, which can worsen mental and overall health. The authors suggest strategies to improve health outcomes through behavioral health services and supports that directly target financial wellness while reducing dependence on public benefits. Although some services focus on financial education, this effort is likely insufficient for addressing poverty and its accompanying financial hopelessness. A social-ecological approach with the core goal of financial wellness may improve outcomes. Financial wellness is a social justice issue that must be elevated to a high-priority area of intervention in behavioral health services.
许多患有严重精神疾病的人生活贫困,这可能会使他们的身心健康状况恶化。作者提出了一些策略,建议通过行为健康服务和支持来改善健康结果,这些策略直接针对财务健康,同时减少对公共福利的依赖。虽然一些服务专注于金融教育,但这可能不足以解决贫困问题及其带来的财务无望感。以财务健康为核心目标的社会生态方法可能会改善结果。财务健康是一个社会公正问题,必须将其提升到行为健康服务干预的高度优先领域。