Mongelli Francesca, Georgakopoulos Penelope, Pato Michele T
Institute for Genomic Health, Department of Psychiatry, College of Medicine (Pato), and Institute for Genomic Health (Georgakopoulos), SUNY Downstate, Brooklyn, NY; Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy (Mongelli).
Focus (Am Psychiatr Publ). 2020 Jan;18(1):16-24. doi: 10.1176/appi.focus.20190028. Epub 2020 Jan 24.
This article investigates the gap in access to and quality of mental health care in the United States. This work first discusses how minority populations are most affected by the treatment gap. It summarizes recent literature on the topic for better understanding the needs of psychiatrically underserved and disenfranchised populations and the causes of mental health disparities. It reviews some of the barriers to behavioral health care, including lack of insurance coverage, lack of community-based interventions, unequal access to evidence-based practices, stigma, mental health workforce shortages, and geographical maldistribution of providers. Second, it reviews opportunities to address these disparities. The article provides examples of effective interventions that researchers worldwide have already implemented to address the gap of mental health services within the collaborative care model and global mental health initiatives. Telepsychiatry and improvements in training of the mental health workforce are also listed as useful implementations to overcome the treatment gap for patients seeking mental health care.
本文探讨了美国在获得精神卫生保健服务及服务质量方面存在的差距。这项工作首先讨论了少数族裔人群如何受治疗差距的影响最大。它总结了近期关于该主题的文献,以便更好地了解精神科服务不足和被剥夺权利人群的需求以及心理健康差距的成因。它回顾了行为健康保健的一些障碍,包括缺乏保险覆盖、缺乏基于社区的干预措施、获得循证实践的机会不平等、污名化、精神卫生劳动力短缺以及提供者的地理分布不均。其次,它回顾了解决这些差距的机会。本文提供了全球各地研究人员已经实施的有效干预措施的例子,这些措施旨在解决协作护理模式和全球精神卫生倡议中的精神卫生服务差距。远程精神病学以及精神卫生劳动力培训的改进也被列为克服寻求精神卫生保健患者治疗差距的有用措施。