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将精神卫生保健纳入初级保健环境的新方法:发展、实施与成果

Novel Approach to Integrating Mental Health Care into a Primary Care Setting: Development, Implementation, and Outcomes.

作者信息

Vohs Jenifer L, Shi Molin, Holmes Emily G, Butler Melissa, Landsberger Sarah A, Gao Sujuan, Ouyang Fanqian, Teal Evgenia, Merkitch Kristen, Kronenberger William

机构信息

Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA.

Department of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, IN, USA.

出版信息

J Clin Psychol Med Settings. 2023 Mar;30(1):3-16. doi: 10.1007/s10880-022-09882-9. Epub 2022 May 11.

DOI:10.1007/s10880-022-09882-9
PMID:35543900
Abstract

It is now widely accepted that there is a growing discrepancy between demand and access to adequate treatment for behavioral or mental health conditions in the United States. This results in immense personal, societal, and economic costs. One rapidly growing method of addressing this discrepancy is to integrate mental health services into the primary care setting, which has become the de facto service provider for these conditions. In this paper, we describe the development and implementation of a novel integrated care program in a large mid-western university-based healthcare system, drawn from the collaborative care model, and describe the benefits in terms of both health care utilization and depression outcomes. Limitations and proposed future directions are discussed.

摘要

目前人们普遍认为,在美国,行为或心理健康状况的需求与获得充分治疗的机会之间的差距正在不断扩大。这导致了巨大的个人、社会和经济成本。解决这一差距的一种迅速发展的方法是将心理健康服务纳入初级保健环境,初级保健已成为这些疾病的实际服务提供者。在本文中,我们描述了一个基于中西部大型大学医疗系统的新型综合护理项目的开发和实施,该项目借鉴了协作护理模式,并描述了在医疗保健利用和抑郁症治疗结果方面的益处。同时讨论了局限性和未来的发展方向。

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A meta-review of "lifestyle psychiatry": the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders.“生活方式精神病学”的元综述:运动、吸烟、饮食和睡眠在精神障碍预防和治疗中的作用
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Population Of US Practicing Psychiatrists Declined, 2003-13, Which May Help Explain Poor Access To Mental Health Care.2003年至2013年期间,美国执业精神科医生的数量有所下降,这可能有助于解释心理健康护理服务难以获得的原因。
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Integrated Medical-Behavioral Care Compared With Usual Primary Care for Child and Adolescent Behavioral Health: A Meta-analysis.综合性医疗-行为护理与常规初级保健在儿童和青少年行为健康方面的比较:一项荟萃分析。
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