实施988自杀和危机救生线:估计州级增加的呼叫需求成本和融资
Jonathan Purtle1, J Chance Ortego, Sachini Bandara
1New York University School of Global Public Health, 708 Broadway, New York, NY 10003, USA, jpp9241@nyu.edu.
The journal of mental health policy and economics
|June 26, 2023
概括
国家自杀与危机救生网在采用988号码后的呼叫量有所增加,但资金仅在约一半的州足够. 持续的融资对于满足需求至关重要.
科学领域:
- 公共卫生政策 公共卫生政策
- 心理健康护理 获取 获取
- 危机干预服务 危机干预服务
背景情况:
- 国家自杀与危机救生网于2022年7月16日转换为988号码,取代了之前的1-800号码.
- 这一变化旨在简化全国范围内的关键自杀预防和心理健康危机支持服务的获取.
研究的目的:
- 为了估计988 Lifeline实现后的州级呼叫量增加.
- 为了计算处理增加的呼叫量相关的年度成本.
- 评估州和联邦资金是否足以满足988项服务的需求.
主要方法:
- 采用了50个州的前后政策实施设计,比较了2022年7月之前和之后的呼叫量.
- 分析了呼叫量差异的百分比变化和每10万人口的比率.
- 用每通话成本估计成本增加,并将资金水平与每居民估计成本进行比较.
主要成果:
- 所有州都经历了988次救生线电话数量的增加,平均增加32.8%.
- 为了适应增加的通话量,估计的全国年度成本约为4600万美元.
- 在大约50%的州,国家资金增加满足了估计的成本增加.
结论:
- 988过渡成功地增加了所有州的通话量,尽管成本影响各不相同.
- 目前,大约一半的州的州资金不足以支付增加的988 Lifeline运营成本.
- 持续和增加的州和联邦资金对于确保988生命线中心能够满足不断增长的需求至关重要.
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