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改善心理健康和物质使用问题的高级实践护理服务可及性的政策重点:美国护理学会文稿

Policy priorities to improve access to advanced practice nursing care for mental health and substance use problems: An American Academy of Nursing manuscript.

作者信息

Tierney Matthew, Schimmels JoEllen, Delaney Kathleen, Mumba Mercy, Glymph Derrick, Handrup Cynthia, Phoenix Bethany

机构信息

American Academy of Nursing, Psychiatric Mental Health and Substance Use Expert Panel, Washington, DC; University of California San Francisco, Department of Psychiatry at San Francisco General Hospital, Opiate Treatment Outpatient Program (OTOP), San Francisco, CA.

American Academy of Nursing, Psychiatric Mental Health and Substance Use Expert Panel, Washington, DC; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.

出版信息

Nurs Outlook. 2025 Jan-Feb;73(1):102342. doi: 10.1016/j.outlook.2024.102342. Epub 2024 Dec 12.

Abstract

Nearly 50% of the U.S. population struggles with a mental health or substance use disorder in their lifetime, yet a substantial number are unable to receive treatment or are undertreated due to significant shortages and disparities in the mental health workforce. These shortages and disparities contribute to health inequities that leave already-vulnerable populations at increased risk for detrimental consequences. Access to mental health and substance use treatment could be improved by better utilizing the Advanced Practice nursing workforce providing care in mental health and substance use treatment, and by better defining Advanced Practice nursing roles, including those with specialty certifications in mental health and substance-related care. This paper makes policy recommendations to better define, grow, and more fully utilize the Advanced Practice nursing workforce providing mental health and substance-related services.

摘要

近50%的美国人口在其一生中曾与心理健康问题或物质使用障碍作斗争,但由于心理健康工作人员严重短缺和分布不均,相当一部分人无法获得治疗或治疗不足。这些短缺和不均导致了健康不平等,使本就脆弱的人群面临更严重不良后果的风险增加。通过更好地利用在心理健康和物质使用治疗中提供护理的高级实践护理人员,并更明确地界定高级实践护理角色,包括那些拥有心理健康和物质相关护理专业认证的角色,可以改善心理健康和物质使用治疗的可及性。本文提出了政策建议,以更好地界定、扩充并更充分地利用提供心理健康和物质相关服务的高级实践护理人员队伍。

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