Center for Health Outcomes and Policy Evaluation Studies, Ohio State University College of Public Health, Columbus, OH, USA.
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
J Behav Health Serv Res. 2024 Jan;51(1):132-145. doi: 10.1007/s11414-023-09865-0. Epub 2023 Nov 28.
Over the past decade, significant investments have been made in coordinated specialty care (CSC) models for first episode psychosis (FEP), with the goal of promoting recovery and preventing disability. CSC programs have proliferated as a result, but financing challenges imperil their growth and sustainability. In this commentary, the authors discuss (1) entrenched and emergent challenges in behavioral health policy of consequence for CSC financing; (2) implementation realities in the home rule context of Ohio, where significant variability exists across counties; and (3) recommendations to improve both care quality and access for individuals with FEP. The authors aim to provoke careful thought about policy interventions to bridge science-to-service gaps, and in this way, advance behavioral health equity.
在过去的十年中，人们对首发精神病（FEP）的协调专科护理（CSC）模式进行了大量投资，目的是促进康复和预防残疾。CSC 项目因此大量涌现，但融资挑战危及了它们的增长和可持续性。在这篇评论中，作者讨论了（1）对 CSC 融资有重要影响的行为健康政策中根深蒂固和新出现的挑战；（2）在俄亥俄州的地方自治背景下的实施现实，该县之间存在显著的差异；以及（3）为改善 FEP 患者的护理质量和获得途径的建议。作者旨在引起对政策干预措施的仔细思考，以弥合科学与服务之间的差距，并以此方式促进行为健康公平。
