Community Care Behavioral Health Organization, UPMC Insurance Services Division, 339 Sixth Ave., Suite 1300, Pittsburgh, PA, 15222, USA.
The Center for Family-Based Training, 1 Bala Ave., Suite 125, Bala Cynwyd, PA, 19004, USA.
Community Ment Health J. 2024 Oct;60(7):1385-1398. doi: 10.1007/s10597-024-01295-2. Epub 2024 May 29.
Family Based Mental Health Services (FBMHS) with an embedded clinical model, Ecosystemic Structural Family Therapy, is an intervention designed for youth with a serious emotional disturbance (SED) who are at risk of out-of-home placement. The current evaluation examines the association between receipt of FBMHS and rates of out-of-home and community-based care during and after an episode of FBMHS. We identified 25,016 Medicaid-enrolled youth ages 3 to 17 years with receipt of a new FBMHS episode from 1/1/2015 to 6/30/2021. 14% of youth received out-of-home services. Rates of out-of-home service decreased during receipt of FBMHS (14.25-6.98%, p < .0001) and remained lower 6 months following discharge (to 6.95%, p < .0001). Short and longer doses of service were both associated with decreased rates of out-of-home services. FBMHS has been scaled across a large geographic area and is associated with lower rates of out-of-home placement for youth with SED.
家庭为基础的心理健康服务（FBMHS）与嵌入式临床模式——生态系统结构家庭治疗，是为有严重情绪障碍（SED）风险的青少年设计的干预措施，这些青少年有离家安置的风险。目前的评估考察了在 FBMHS 期间和之后，接受 FBMHS 与离家和社区护理比率之间的关联。我们确定了 25016 名年龄在 3 至 17 岁之间的 Medicaid 登记青少年，他们在 2015 年 1 月 1 日至 2021 年 6 月 30 日期间接受了新的 FBMHS 疗程。14%的青少年接受了离家服务。在接受 FBMHS 的过程中，离家服务的比率下降（14.25%-6.98%，p<0.0001），出院后 6 个月仍保持较低水平（6.95%，p<0.0001）。短期和长期的服务剂量都与离家服务的比率下降有关。FBMHS 在一个大的地理区域得到了推广，与有 SED 的青少年离家安置率降低有关。
