Historique
Article de Périodique
Trends in Mental Health and Substance Abuse Services at the Nation's Community Health Centers: 1998-2003 (2006)
(Evolutions dans les services spécialisés en toxicomanie et en santé mentale des maisons médicales de la nation : 1998-2003)
Auteur(s) :
DRUSS B.G. ;
BORNEMANN, T. ;
FRY-JOHNSON, Y. W. ;
MCCOMBS H.G. ;
POLITZER R.M. ;
RUST G.
Année
2006
Page(s) :
1779-1784
Langue(s) :
Anglais
Refs biblio. :
26
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
ENQUETE
;
ETUDE RETROSPECTIVE
;
COMORBIDITE
;
EVOLUTION
;
ACCES AUX SOINS
Thésaurus géographique
ETATS-UNIS
Note générale :
American Journal of Public Health, 2006, 96, (10), 1779-1784
Note de contenu :
tabl.
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)
Affiliation :
Rollins School of Public Health, Emory University, Atlanta, Ga, USA. bdruss@emory.edu
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
Abonnement