在加利福尼亚州工人赔偿系统之外为第一响应者提供心理健康支持
Denise D Quigley1, Nabeel Qureshi, Michael Dworsky
1From the RAND Corporation, Santa Monica, California.
Journal of occupational and environmental medicine
|December 6, 2024
概括
首先响应者受益于工人赔偿 (WC) 之外的心理健康 (MH) 服务. 这些替代方案提供了全面的护理,减少了耻辱感,改善了获取,加速了受伤工人的愈合.
科学领域:
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 公共卫生政策 公共卫生政策
背景情况:
- 人们越来越担心急救人员遭受的精神伤害.
- 传统的工人赔偿 (WC) 系统可能会对这些人群获得心理健康 (MH) 护理构成障碍.
研究的目的:
- 检查提供心理健康 (MH) 服务给急救人员的工人赔偿 (WC) 的替代方案.
- 了解非WC MH计划的结构,融资和感知的好处.
主要方法:
- 在加利福尼亚州五个部门进行了15次采访,利用非WC MH提供商.
- 对采访数据进行内容分析,以确定主题和模式.
主要成果:
- 非WC MH支持通常涉及与外部提供商签订专门合同,用于评估,诊断和治疗.
- 在工会和城市的支持下,为MH护理建立了正式的融资机制.
- 首次响应者报告了与MH护理相关的重大耻辱和对过去的WC经历的丧.
- 与WC相比,WC的替代方案提供了更全面的服务,更容易访问,并加快了愈合过程.
结论:
- 在传统的 WC 框架之外,与具有文化能力的 MH 提供者签订合同,显示了支持首次响应人员的前景.
- 需要对这些替代的MH服务交付模式进行正式评估.
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