经过认证的社区行为健康诊所为患有并发性疾病的客户提供服务:隐藏类方法
Yuanyuan Hu1, Ran Hu1, Daniel M Baslock1
1Silver School of Social Work, New York University, New York City (Y. Hu, Baslock, Stanhope); College of Social Work, Ohio State University, Columbus (R. Hu).
Psychiatric services (Washington, D.C.)
|July 10, 2024
概括
经过认证的社区行为健康诊所 (CCBHCs) 提供比其他设施更全面的服务,用于同时出现的疾病. 通过CCBHC的指定,加强了对精神和物质使用障碍的服务提供.
科学领域:
- 行为健康 行为健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 认证的社区行为健康诊所 (CCBHCs) 旨在综合照顾患有精神健康和物质使用障碍并发症的人.
- 了解门诊精神卫生机构之间的服务差异对于优化护理提供至关重要.
研究的目的:
- 根据为患有并发性疾病的客户提供的服务,对门诊精神卫生设施进行分类.
- 为了确定CCBHC是否提供与其他门诊精神卫生设施相比不同的服务配置文件.
主要方法:
- 从5,692个门诊机构 (2021年国家物质使用和心理健康服务调查) 的数据进行了潜在类分析.
- 分析了9个同时出现的疾病服务指标,包括专业治疗和药物辅助治疗 (MAT).
- 对设施特征进行控制的多项逻辑回归,以评估CCBHC与服务类别的关联.
主要成果:
- 解决方案分为四类:综合服务 (23.4%),案例管理 (17.7%),咨询/自助 (58.6%) 和专业服务 (4.3%).
- 与其他类别相比,CCBHC在综合服务模式下被分类的可能性要大得多.
- 与社区心理健康诊所 (CMHCs) 相比,CCBHCs更倾向于提供综合服务.
结论:
- CCBHCs显示更有可能为同时出现的疾病提供综合护理.
- 似乎CCBHC认证有助于在精神卫生机构内提供更好的服务.
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