Financing First-Episode Psychosis Services in the United States
Financing First-Episode Psychosis Services in the United States
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DOI：
10.1176/appi.ps.201300106
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发表时间：
2013-06-01
影响因子：
3.8
通讯作者：
Beronio, Kirsten
中科院分区：
文献类型：
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作者：
Goldman, Howard H.;Karakus, Mustafa;Beronio, Kirsten
充足的资金对于为首次患有精神病的个人提供服务至关重要。由美国国家精神卫生研究所赞助的一个项目“精神分裂症初期发作后的恢复”（RAISE）正在对现实世界中首次发作服务的实施和有效性进行实际测试。本专栏描述了美国18个州中有5个州正在使用的早期干预服务的融资方法。S.参与基于团队的多要素RAISE干预临床试验的研究中心。作者还描述了新的融资选择，随着《平价医疗法案》（ACA）的更全面实施，这些选择将变得可用。ACA将合理化首次发作服务的覆盖范围，但最重要的医疗补助规定也将要求各州采取行动，以最佳方式实施服务。
Adequate financing is essential to implementing services for individuals experiencing a first episode of a psychotic illness. Recovery After an Initial Schizophrenia Episode ( RAISE), a project sponsored by the National Institute of Mental Health, is providing a practical test of the implementation and effectiveness of first-episode services in real-world settings. This column describes approaches to financing early intervention services that are being used at five of 18 U. S. sites participating in a clinical trial of a team-based, multielement RAISE intervention. The authors also describe new options for financing that will become available as the Affordable Care Act (ACA) is implemented more fully. The ACA will rationalize coverage of first-episode services, but the all-important Medicaid provisions will also require individual state action to implement services optimally.