Barriers to serving clients with co-occurring disorders in a transformed mental health system.
Psychiatr Serv
; 66(5): 547-50, 2015 May 01.
Article
em En
| MEDLINE
| ID: mdl-25686812
ABSTRACT
OBJECTIVE:
The publication of the President's New Freedom Commission Report in 2003 led to hope and anticipation that system transformation would address barriers that have impeded the delivery of integrated services for clients with co-occurring mental health and substance use disorders. Have problems been resolved? This study analyzed providers' perspectives on serving clients with co-occurring disorders in a large mental health system that has undergone transformation.METHODS:
Six focus groups were conducted with providers at specialty mental health treatment organizations that received funding to transform services. Using content analysis, the authors identified major themes of the focus group discussions.RESULTS:
Participants reported several barriers within the mental health system and challenges associated with collaborating with specialty substance abuse treatment providers that impede the delivery of integrated care.CONCLUSIONS:
In spite of efforts to improve co-occurring disorder service delivery in a transformed mental health system, barriers that have historically impeded integrated treatment persist.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
/
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Transtornos Relacionados ao Uso de Substâncias
/
Acessibilidade aos Serviços de Saúde
/
Transtornos Mentais
/
Serviços de Saúde Mental
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Qualitative_research
Aspecto:
Determinantes_sociais_saude
/
Implementation_research
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Psychiatr Serv
Ano de publicação:
2015
Tipo de documento:
Article