Assessing the service linkages of substance abuse agencies with mental health and primary care organizations.
Assessing the service linkages of substance abuse agencies with mental health and primary care organizations.
复制标题
评估药物滥用机构与精神卫生和初级保健组织的服务联系。
DOI：
10.1080/00952990500328620
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Ellis,AlanR
中科院分区：
文献类型：
--
作者：
Lee,Shoou-YihD;Morrissey,JosephP;Thomas,KathleenC;Carter,WCraig;Ellis,AlanR
药物滥用治疗的分散是对同时存在药物滥用和精神和身体健康障碍的个人进行有效治疗的一个主要障碍。人们普遍认为，药物滥用治疗组织与初级保健和精神卫生机构建立联系是整合服务的一种可行方式。在本研究中，我们分析了从全国62个门诊药物滥用治疗单位（OSAT）样本中收集的信息，以了解这些组织中服务联系的程度，并确定服务联系的促进者和障碍。结果表明，OSAT与初级保健和心理健康提供者的服务联系有限。所提到的联系障碍包括客户的财务问题、管理式护理的限制和有限的组织能力。在一些开放式卫星监测站提供了现场服务。在OSAT的服务联系的模式似乎反映了药物滥用客户的健康需要。
Fragmentation of substance abuse treatment represents a major barrier to effective treatment for individuals with cooccurring substance abuse and mental and physical health disorders. Linkages of substance abuse treatment organizations with primary care and mental health agencies are widely considered to be a feasible way to integrate services. In this study, we analyzed information collected from a national sample of 62 outpatient substance abuse treatment units (OSATs) to understand the extent of services linkages in these organizations and to identify facilitators and barriers to service linkages. Results showed that OSATs had limited service linkages with primary care and mental health providers. The cited barriers to linkages included clients' financial problems, managed care restrictions, and limited organizational capacity. Onsite service provision was implemented in some OSATs. The pattern of service linkages in OSATs appeared to reflect the health needs of substance abuse clients.