Mailman School of Public Health, ICAP at Columbia University, Columbia University, 722 West 168Th Street, New York, NY, 10032, USA.
Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th St., Miami, FL, 33136, USA.
J Behav Health Serv Res. 2023 Jul;50(3):348-364. doi: 10.1007/s11414-022-09828-x. Epub 2023 Jan 4.
Behavioral health disorders such as mental disorders (MD) and substance use disorders (SUD) are epidemics in the US; however, the availability of treatment and prevention services remains low. This study assessed neighborhood-level sociodemographic attributes to characterize the availability of behavioral health treatment facilities in Florida. The American Community Survey and SAMHSA's Behavioral Health Treatment Locator were used to identify behavioral health treatment facilities in Florida and calculate their density by census tract. Spatial lag regression models were used to assess census tract-level correlates of facility density for 390 MD treatment facilities, 518 SUD facilities, and subsets of affordable MD and SUD facilities. Behavioral health treatment facility density was negatively associated with rurality and positively associated with the proportion of non-Latino Black, Latino, insured, and college-educated populations. Stark rural-urban disparities in behavioral health treatment availability present opportunities to prioritize telehealth and mobile interventions and improve treatment utilization.
行为健康障碍，如精神障碍 (MD) 和物质使用障碍 (SUD)，在美国是一种流行疾病；然而，治疗和预防服务的提供仍然很低。本研究评估了社区层面的社会人口统计学特征，以描述佛罗里达州行为健康治疗设施的可用性。使用美国社区调查和 SAMHSA 的行为健康治疗定位器来确定佛罗里达州的行为健康治疗设施，并按普查区计算其密度。空间滞后回归模型用于评估 390 个 MD 治疗设施、518 个 SUD 设施以及负担得起的 MD 和 SUD 设施的亚组的普查区层面设施密度的相关因素。行为健康治疗设施密度与农村化呈负相关，与非拉丁裔黑人、拉丁裔、保险和受过大学教育的人口比例呈正相关。行为健康治疗服务提供方面存在明显的城乡差异，这为优先考虑远程医疗和移动干预以及提高治疗利用率提供了机会。
