Eldredge Dave, Langenecker Scott A, Lucynski Rachel Kay, Schreiner Mindy Westlund
Huntsman Mental Health Institute, Department of Psychiatry, University of Utah, Salt Lake City.
Focus (Am Psychiatr Publ). 2022 Jul;20(3):285-291. doi: 10.1176/appi.focus.20220047. Epub 2022 Jul 1.
Our country is facing a resurgence of behavioral health crises from over the past 30 years, further illuminated and exacerbated by the global COVID-19 pandemic. Increasing suicide crises among youths over recent decades, untreated anxiety and depression, and serious mental illness are signs of the need for improvements in accessible, affordable, timely, and comprehensive behavioral health services. Against the backdrop of high suicide rates and low behavioral health services in Utah, statewide collaborators aligned with a common goal: deliver crisis services to anyone, anytime, and anywhere. After its initiation in 2011, the integrated behavioral health crisis response system continued to expand and excel, ultimately improving access and referral to services, flattening suicide rates, and reducing stigma. The global pandemic further motivated the expansion of Utah's crisis response system. This review focuses on the unique experiences of the Huntsman Mental Health Institute as a catalyst and partner in these changes. Our goals are to: inform about unique Utah partnerships and actions in the crisis mental health space, describe initial steps and outcomes, highlight continuing challenges, discuss pandemic-specific barriers and opportunities, and explore the long-term vision to improve quality and access to mental health resources.
我国正面临着过去30年来行为健康危机的再度出现，全球新冠疫情使其进一步凸显并加剧。近几十年来青少年自杀危机不断增加、焦虑和抑郁得不到治疗以及严重精神疾病，这些都表明需要改善可及、可负担、及时且全面的行为健康服务。在犹他州自杀率高且行为健康服务不足的背景下，全州的合作伙伴们朝着一个共同目标齐心协力：随时随地为任何人提供危机服务。自2011年启动以来，综合行为健康危机应对系统持续扩展并取得卓越成效，最终改善了服务的可及性和转诊情况，使自杀率趋于平稳，并减少了污名化现象。全球疫情进一步推动了犹他州危机应对系统的扩展。本综述聚焦于亨斯迈心理健康研究所作为这些变革的推动者和合作伙伴的独特经历。我们的目标是：介绍犹他州在危机心理健康领域独特的合作伙伴关系和行动，描述初步措施及成果，突出持续存在的挑战，讨论疫情特有的障碍和机遇，并探索改善心理健康资源质量和可及性的长期愿景。
