跨机构协调管理同时发生的智力和发育障碍和心理健康状况
Elizabeth M Stone1, Andrew D Jopson1, Danielle German1
1Rutgers Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, and Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey (Stone); Departments of Health Policy and Management (Jopson, McCourt) and Health, Behavior, and Society (German), Johns Hopkins University Bloomberg School of Public Health, Baltimore; Department of Population Health Sciences, Division of Health Policy and Economics, Weill Cornell Medicine, New York City (McGinty).
国家机构面临的挑战是协调智力和发育障碍 (IDD) 和心理健康服务. 优先考虑全身护理策略可以改善对患有并发症的个体的支持.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
背景情况:
- 智力和发育障碍 (IDD) 患者通常有共同出现的心理健康状况.
- 有效的心理健康服务需要IDD和心理健康机构之间的协调.
- 目前的协调努力往往是危机驱动的,不足.
研究的目的:
- 确定国家IDD和心理健康机构之间机构间协调的障碍和策略.
- 了解如何更好地满足IDD和心理健康状况同时发生的个体的心理健康需求.
主要方法:
- 对美国11个州的49名州政府机构,倡导和服务提供组织的员工进行专题分析.
- 采访是在2022年4月至2023年4月之间进行的.
主要成果:
- 机构间的关系表现出竞争和协调,协调往往是对危机的反应.
- 障碍包括机构特定的人口重点,结构变化和对共同发生条件的有限知识.
- 策略包括行政协议 (MOU) 和培养全人护理文化.
结论:
- 从危机应对转向积极主动的,全方位的个人护理方法至关重要.
- 优先考虑支持机构间合作的战略,可以改善IDD和心理健康状况同时发生的人的心理健康服务提供.
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