2006-2020年在美国资助和实施以康复为导向的治疗计划
Carissa van den Berk-Clark1, Margarita Fedorova2, Emily Duncan1
1Department of Family and Community Medicine, Saint Louis University, St. Louis, MO, USA.
Journal of drug education
|December 6, 2023
概括
对以个人为中心的康复服务的资金有限,仅占药物滥用治疗和预防总预算的一小部分. 分析显示了四个主要的融资趋势:同行,治疗,系统和以消费者为中心的方法.
科学领域:
- 药物滥用治疗和资助的方法
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
背景情况:
- 对以人为中心的长期恢复服务的融资流和实施策略的理解有限.
- 康复服务对有物质使用障碍的人来说至关重要,但他们的财务支持仍未得到充分审查.
研究的目的:
- 分析资金格局,并确定美国恢复服务的实施趋势.
- 在更广泛的药物滥用预防和治疗领域内,量化分配给康复服务的资金比例.
主要方法:
- 利用隐性类分析 (LCA) 来检查从2004年到2020年的药物滥用和心理健康服务管理局 (SAMHSA) 资金档案.
- 分析了所有50个州的赠款数据,加上华盛顿特区和关岛,以确定重点恢复资金的模式.
主要成果:
- 从2004年到2020年,大约有4.25亿美元的基于恢复的赠款被分配,平均每年为6330万美元.
- 潜在类分析发现了四种不同的融资趋势:以同行为重点 (9%),以治疗为重点 (14%),以系统为重点 (57%),以消费者为重点 (19%).
- 恢复服务占SAMHSA总资金中药物滥用预防和治疗的比例相对较小.
结论:
- 与整体药物滥用预防和治疗计划相比,康复服务的资金水平不成比例地低.
- 鉴定到的融资趋势突出了以系统为中心的方法,不太重视同行或消费者驱动的模式.
- 需要进一步的研究和政策考虑,以加强以人为中心的康复服务的财务支持和实施.
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