Adequacy of treatment for serious mental illness in the United States
Adequacy of treatment for serious mental illness in the United States
复制标题
DOI：
10.2105/ajph.92.1.92
复制
发表时间：
2002-01-01
影响因子：
12.7
通讯作者：
Kessler, RC
中科院分区：
文献类型：
--
作者：
Wang, PS;Demler, O;Kessler, RC
目的。本研究旨在评估严重精神疾病治疗的患病率及其相关因素。
方法。数据来源于全国共病调查，这是一项具有全国代表性的横断面家庭调查，评估精神障碍及其治疗的存在情况和相关因素。计算了过去12个月中接受严重精神疾病治疗的粗略和调整后的可能性。
结果。40%的严重精神疾病受访者在前一年接受过治疗。在接受治疗的受访者中，38.9%接受的治疗可被视为至少是最低限度适当的，这导致所有严重精神疾病受访者中15.3%接受了最低限度适当的治疗。未接受最低限度适当治疗的预测因素包括是年轻人或非裔美国人、居住在南方、被诊断患有精神病性障碍以及在综合医疗部门接受治疗。
结论。严重精神疾病治疗不足是一个巨大的公共卫生问题。需要公共政策和具有成本效益的干预措施来改善治疗的可及性和治疗质量。
Objectives. The purpose of this study was to assess the prevalence and correlates of treatment for serious mental illness.Methods. Data were derived from the National Comorbidity Survey, a cross-sectional, nationally representative household survey assessing the presence and correlates of mental disorders and treatments. Crude and adjusted likelihoods of receiving treatment for serious mental illness in the previous 12 months were calculated,Results. Forty percent of respondents with serious mental illness had received treatment in the previous year. Of those receiving treatment, 38.9% received care that could be considered at least minimally adequate, resulting in 15.3% of all respondents with serious mental illness receiving minimally adequate treatment. Predictors of not receiving minimally adequate treatment included being a young adult or an African American, residing in the South, being diagnosed as having a psychotic disorder, and being treated in the general medical sector.Conclusions. Inadequate treatment of serious mental illness is an enormous public health problem. Public policies and cost-effective interventions are needed to improve both access to treatment and quality of treatment.