医疗补助家庭和社区服务中的智力和发育障碍者精神和行为健康和危机服务
Carli Friedman1, Carine M Luxama2
1The Council on Quality and Leadership (CQL), 100 West Road, Suite 300, Towson, MD, 21204, USA. cfriedman@thecouncil.org.
Journal of autism and developmental disorders
|July 1, 2024
概括
各州通过家庭和社区服务 (HCBS) 计划为智力和发育障碍 (IDD) 患者提供心理和行为健康服务,但在美国各地的服务提供有很大差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
- 公共卫生政策 公共卫生政策
背景情况:
- 智力和发育障碍 (IDD) 个体经历的同时出现的精神健康状况的比率更高.
- 对于患有IDD的人来说,在获得心理和行为健康服务方面存在很大的差距.
- 家庭和社区服务 (HCBS) 是美国IDD患者长期服务和支持 (LTSS) 的首要融资机制.
研究的目的:
- 分析国家医疗补助 (Medicaid) 对IDD患者的HCBS豁免如何提供心理和行为健康以及危机服务.
- 在这些计划中确定心理和行为健康需求的服务提供范围和方法.
主要方法:
- 对2021财年的分析 医疗补助 HCBS豁免对美国各地IDD的个人.
- 检查服务类别,支出预测和精神,行为和危机服务的收件人数.
主要成果:
- 预计各州将花费约96890万美元用于心理和行为健康,以及为190,299名IDD患者提供危机服务.
- 应用行为分析比积极行为支持和其他行为干预更频繁地提供.
- 虽然大多数州都提供这些服务,但在各州的提供,豁免和特定服务方面存在重大不一致.
结论:
- 家庭和社区服务 (HCBS) 对于在社区生活中支持IDD患者,特别是那些患有精神健康状况的人来说至关重要.
- 观察到的不一致性凸显出需要在HCBS项目中对IDD患者进行标准化和改善获得心理和行为健康服务的需求.
- 需要进一步的研究来解决服务提供方面的差异,并确保公平获得综合保健.
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