社区精神卫生工作者:他们的工作场所,角色和影响
Elizabeth Heetderks-Fong1,2, Anna Bobb3
1Vreds Philanthropy, Washington, DC, USA. elizabeth@vreds.com.
Community mental health journal
|June 19, 2024
概括
社区卫生工作者改善弱势群体获得精神卫生保健的机会,解决提供者短缺和健康不平等问题. 他们的扩大作用为美国心理健康危机提供了至关重要的解决方案.
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
- 心理健康服务 心理健康服务
背景情况:
- 美国面临着严重的心理健康危机,严重缺乏提供者.
- 边缘化社区和农村人口在获得心理健康护理方面存在重大差异.
- 社区卫生工作者 (CHWs) 长期以来一直致力于改善身体医疗保健的准入.
研究的目的:
- 审查各种类型的CHW在精神卫生保健中的作用和影响.
- 探索CHW如何增强风险人群的获得权.
- 确定CHW整合的政策,补偿和实践范围的考虑.
主要方法:
- 使用PubMed,EMBASE和谷歌学者进行文学评论.
- 分析不同的CHW角色 (例如,CHW/promotores de salud,同行支持,同行导航员,世俗顾问).
- 检查CHW技能集,实践设置和特定人群的应用.
主要成果:
- 医疗保健中心有效地提高了获得心理健康护理的机会,特别是对于有色人种社区,严重精神疾病患者,农村居民,老年人和年轻人.
- 将任务转移到CHW可以减轻传统心理健康工作人员的负担.
- 医疗保健中心解决了关键的劳动力短缺问题,并促进了精神卫生保健中的健康公平.
结论:
- 扩大CHW的使用对于解决美国心理健康危机至关重要.
- 精神病医院提供了一个可扩展的解决方案,以改善心理健康护理的获取和公平.
- 需要制定政策和补偿框架,以支持医疗保健人员融入精神卫生保健系统.
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