在精神卫生机构提供移动危机服务的可用性
Andrew Anderson1, Stas Spivak2, Alene Kennedy Hendricks1
1Bloomberg School of Public Health, Department of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland.
移动危机服务对于心理健康护理至关重要. 提供综合服务并位于特定地区的设施更有可能提供这些至关重要的移动危机干预措施,改善获得护理的机会.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 公共卫生政策 公共卫生政策
- 获得医疗保健和公平的机会.
背景情况:
- 越来越多的自杀念头,严重抑郁症和急性精神病需要可访问的危机干预措施.
- 对精神病紧急情况的急诊室访问增加了,突出显示了需要基于社区的解决方案.
- 移动危机服务为心理健康紧急情况提供了及时和基于社区的方法.
研究的目的:
- 确定美国精神卫生治疗设施内移动危机服务的全国可用性.
- 确定与移动危机服务提供相关的关键设施,地理和州级因素.
- 为扩大获得移动危机护理的战略提供信息.
主要方法:
- 来自2022年全国物质使用和心理健康服务调查 (n=9036个设施) 的数据的横截面分析.
- 将设施数据与医疗保健研究和质量机构的健康社会决定因素数据库进行链接,以进行区域级分析.
- 后勤回归模型用于评估影响移动危机服务可用性的因素.
主要成果:
- 只有20.8%的设施报告提供移动危机服务.
- 提供综合双重诊断,自杀预防或积极社区治疗的设施更有可能提供移动危机服务.
- 只有高中教育的居民比例较低的地区的设施更有可能提供这些服务.
结论:
- 移动危机服务的可用性有限,根据设施特征和地理因素有很大的差异.
- 综合服务和特定地区的人口结构与提供移动危机服务的可能性更高有关.
- 解决服务差距对于提高危机护理可访问性和改善心理健康结果至关重要.
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