University of North Carolina at Chapel Hill School of Social Work, Chapel Hill, North Carolina, USA.
Eat Disord. 2024 Jul-Aug;32(4):387-400. doi: 10.1080/10640266.2024.2310345. Epub 2024 Feb 5.
Eating disorders (EDs) and substance use disorders (SUDs) often co-occur. However, not all providers that treat persons with an ED provide SUD treatment. Using the National Mental Health Services Survey, this study examined 1,387 ED treatment providers in the U.S. Facilities were categorized according to whether they provided SUD treatment. Differences based on facilities' profit status, available treatment settings, payment options, and treatment services were examined. Most ED facilities in the sample offered SUD treatment services (67.2%). Differences in proportions of the facility type, availability of outpatient treatment, sliding fee scale payment option, whether the facility had a program for individuals with co-occurring mental health and SUD, couples/family therapy, dual disorders treatment, and if the facility provided telemedicine/telehealth were identified. Although most facilities in this sample offered SUD services, more should be done to increase such facilities' capacity to provide treatment for co-occurring ED and SUD nationwide.
饮食失调(EDs)和物质使用障碍(SUDs)经常同时发生。然而,并非所有治疗 ED 的提供者都提供 SUD 治疗。本研究使用国家心理健康服务调查,在美国检查了 1387 名 ED 治疗提供者。设施根据是否提供 SUD 治疗进行分类。根据设施的盈利状况、可用治疗环境、支付选择和治疗服务,检查了差异。样本中大多数 ED 设施提供 SUD 治疗服务(67.2%)。在设施类型、门诊治疗的可用性、滑动收费标准支付选择、设施是否有针对精神健康和 SUD 共病个体的计划、夫妻/家庭治疗、双重障碍治疗以及设施是否提供远程医疗/远程医疗方面,确定了比例的差异。尽管该样本中的大多数设施都提供 SUD 服务,但应该采取更多措施来提高这些设施在全国范围内为共病 ED 和 SUD 提供治疗的能力。