认证的社区行为健康中心在改善获得同行支持服务方面的作用
Elizabeth B Matthews1, Victoria E Stanhope2, Yuanyuan Hu2
1Graduate School of Social Service, Fordham University, 113 W. 60th st., New York, NY, 10023, USA. Ematthews13@fordham.edu.
认证的社区行为健康中心 (CCBHC) 总体上增加了同行支持工作者 (PSW) 的访问,特别是在阿片类药物使用障碍的人群中. 然而,在CCBHC实施后的不同计划中发生了利用转变.
科学领域:
- 行为健康服务 研究 研究 行为健康服务
- 医疗整合模型 医疗整合模型
- 同行支持专家利用率 专家利用率
背景情况:
- 同行支持工作者 (PSW) 提高了行为健康需求的个体的结果.
- 将PSW整合到日常护理中存在挑战.
- 认证的社区行为健康中心 (CCBHC) 提供了一种全方位护理和潜在的PSW整合的新模式.
研究的目的:
- 在组织过渡到CCBHC模型后,检查PSW利用的变化.
- 评估CCBHC实施对提供同行支持服务的影响.
主要方法:
- 分析来自大型行为健康组织的行政数据.
- 奇方位分析以评估同行访问次数的变化.
- 后勤回归用于比较在CCBHC实施之前和之后访问PSW服务的可能性.
主要成果:
- 总体而言,PSW访问在CCBHC实施后增加.
- 在物质使用和过渡年龄青年计划中,PSW使用增加.
- 在基于社区的密集病例管理计划中,PSW访问减少.
- 患有阿片类药物使用障碍的客户更有可能获得PSW服务.
结论:
- 一般来说,CCBHC的指定促进了被研究组织内的PSW访问.
- 在PSW利用的变化集中在阿片类药物使用障碍的个体和特定计划中.
- 该研究提供了关于PSW在CCBHC框架中的整合的见解.
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