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关于为有饮食障碍的医疗补助保险青少年获得基于证据的专业治疗的跨学科观点

Peyton Crest^1,2, Siena S Vendlinski^1,3, Renee Borges⁴

¹Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA.

Journal of eating disorders

|October 22, 2024

概括

基于家庭的治疗 (FBT) 对有神经性厌食症 (AN) 的青少年至关重要,特别是对公共保险的青年来说. 文化适应和提供者培训改善了服务不足社区的获取和成果.

科学领域:

饮食障碍研究饮食障碍研究
青少年心理健康青少年心理健康
医疗服务研究医疗服务研究

背景情况:

基于家庭的治疗 (FBT) 是青少年神经性厌食症 (AN) 的主要干预措施.
在服务于公共保险人口的门诊机构中,FBT的研究不足,这些人经常面临进入障碍.
公共保险的个人往往收入较低,种族/种族多样化.

研究的目的:

探索跨学科提供者对公共保险青年的FBT的经验.
确定在向多样化,公共保险人口提供FBT方面面临的挑战和促进者.
评估FBT培训对提供者合作和患者护理的影响.

主要方法:

与十位专注于青少年饮食障碍 (EDs) 的跨学科提供者的半结构面试.
采访重点关注私人与公共保险患者的护理差异.
探索了旧金山县的FBT后培训提供者的观点.

主要成果:

内容分析揭示了三个主题:将心理健康与医疗保健整合起来,导航公共医疗保健系统,以及FBT推广的积极影响.
提供者报告说,他们对患者结果的信心增加,FBT培训后的合作改善.
障碍包括推系统,体重耻辱和服务可用性;文化能力和心理教育是关键促进因素.

结论:

在服务不足的社区获得FBT可以减少患者和提供者的负担.
文化适应增强了FBT的实施和家庭在公共资助环境中的参与.
FBT培训提高了提供者的协作和有效性,支持基于证据的干预实施科学.

关键词:

神经性厌食症是一种神经性厌食症.护理的障碍护理的障碍护理协调护理协调基于家庭的治疗 (FBT)实施实施实施门诊治疗门诊治疗私人保险是私人的保险.公共保险是公共保险.

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