Titre : | Trends in Mental Health and Substance Abuse Services at the Nation's Community Health Centers: 1998-2003 (2006) |
Titre traduit : | (Evolutions dans les services spécialisés en toxicomanie et en santé mentale des maisons médicales de la nation : 1998-2003) |
Auteurs : | DRUSS B.G. ; T. BORNEMANN ; Y. W. FRY-JOHNSON ; MCCOMBS H.G. ; POLITZER R.M. ; RUST G. |
Type de document : | Article : Périodique |
Dans : | American Journal of Public Health (Vol.96 n°10, 2006) |
Article en page(s) : | 1779-1784 |
Note générale : |
American Journal of Public Health, 2006, 96, (10), 1779-1784 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés ENQUETE ; ETUDE RETROSPECTIVE ; COMORBIDITE ; EVOLUTION ; ACCES AUX SOINSThésaurus géographique ETATS-UNIS |
Résumé : |
ENGLISH : OBJECTIVE: We examined trends in delivery of mental health and substance abuse services at the nation's community health centers. METHODS: Analyses used data from the Health Resources and Services Administration (HRSA), Bureau of Primary Care's (BPHC) 1998 and 2003 Uniform Data System, merged with county-level data. RESULTS: Between 1998 and 2003, the number of patients diagnosed with a mental health/substance abuse disorder in community health centers increased from 210,000 to 800,000. There was an increase in the number of patients per specialty mental health/substance abuse treatment provider and a decline in the mean number of patient visits, from 7.3 visits per patient to 3.5 by 2003. Although most community health centers had some on-site mental health/substance abuse services, centers without on-site services were more likely to be located in counties with fewer mental health/substance abuse clinicians, psychiatric emergency rooms, and inpatient hospitals. CONCLUSIONS: Community health centers are playing an increasingly central role in providing mental health/substance abuse treatment services in the United States. It is critical both to ensure that these centers have adequate resources for providing mental health/substance abuse care and that they develop effective linkages with mental health/substance abuse clinicians in the communities they serve. (Author' s abstract) |
Note de contenu : | tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 26 |
Affiliation : |
Rollins School of Public Health, Emory University, Atlanta, Ga, USA. bdruss@emory.edu Etats-Unis. United States. |
Numéro Toxibase : | 1301794 |
Centre Emetteur : | 13 OFDT |
Cote : | Abonnement |
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