The need for trauma assessment and related clinical services in a state-funded mental health system

The need for trauma assessment and related clinical services in a state-funded mental health system
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DOI:
10.1023/a:1015909611028
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发表时间:
2002-08-01
影响因子:
2.7
通讯作者:
Santos, AB
Santos, AB
中科院分区:
医学4区
文献类型:
--
作者:
Frueh, BC;Cousins, VC;Santos, AB

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先前的数据显示,创伤在公共部门消费者中非常普遍,并且与严重的精神疾病和高昂的服务使用成本相关。尽管如此,有证据表明,创伤受害者往往得不到认可,也得不到足够的心理健康服务。我们调查了南卡罗来纳州心理健康部内的所有机构(6 个住院病人、17 个门诊病人),了解他们目前为创伤受害者提供的服务。结果表明,大多数公共精神卫生机构没有以适当的方式定期评估创伤史或提供专门的创伤相关服务。讨论了影响和未来的方向,包括许多国家资助系统当前的创伤举措。
Previous data show that trauma is highly prevalent in public sector consumers and is associated with severe mental illness and high service use costs. Despite this, evidence suggests that trauma victims tend to go unrecognized and to receive inadequate mental health services. We surveyed all facilities (6 inpatient, 17 outpatient) within the South Carolina Department of Mental Health about their current services for trauma victims. Results indicate that most public mental health facilities do not routinely evaluate trauma history in an adequate manner or provide specialized trauma-related services. Implications and future directions are addressed, including the current trauma initiatives of many state-funded systems.