The struggle to provide community-based care to low-income people with serious mental illnesses
The struggle to provide community-based care to low-income people with serious mental illnesses
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DOI：
10.1377/hlthaff.25.3.694
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发表时间：
2006-05-01
期刊：
影响因子：
9.7
通讯作者：
Taylor, EF
中科院分区：
文献类型：
--
作者：
Cunningham, P;McKenzie, K;Taylor, EF
本文描述了美国12个社区的精神卫生专业人员和其他观察员报告的患有严重精神疾病的低收入人群的服务差距。据受访者称，近年来，由于国家预算压力和医疗补助成本控制政策，服务缺口有所扩大，特别是对未投保的人。服务差距日益扩大，导致无家可归者和被监禁人口中严重精神疾病的高发率，以及急诊室的拥挤。一些州和社区正在积极解决这些差距，尽管新项目的资金仍然稀缺。
This paper describes gaps in services for low-income people with serious mental illnesses as reported by mental health professionals and other observers in twelve U.S. communities. According to respondents, service gaps have grown in recent years-especially for uninsured people-as a result of state budget pressures and Medicaid cost containment policies. Growing service gaps contribute to the high prevalence of serious mental illness among the homeless and incarcerated populations, as well as crowding of emergency departments. Some states and communities are aggressively addressing these gaps, although funding for new programs remains scarce.