G2TT
来源类型Report
规范类型报告
DOIhttps://doi.org/10.7249/RRA889-1
来源IDRR-A889-1
How to Transform the U.S. Mental Health System: Evidence-Based Recommendations
Ryan K. McBain; Nicole K. Eberhart; Joshua Breslau; Lori Frank; M. Audrey Burnam; Vishnupriya Kareddy; Molly M. Simmons
发表日期2021-01-11
出版年2021
页码108
语种英语
结论

Decisive and transformative change to the U.S. mental health landscape is possible

  • For change to occur, politicians, public administrators, advocates, and policy experts need to coalesce around a focused set of objectives.
  • To this end, the authors provide analysis and recommendations in 15 areas where there is potential for transformative change that can improve the lives of the more than 60 million Americans affected by mental illness.

The analysis and findings are organized under three goals for mental health system transformation: promote pathways to care, improve access to care, and establish an evidence-based continuum of care so patients get the help they need

  • Many Americans experience mental illness, but the majority of those in need of assistance go untreated. The authors identified three solutions to increase mental health service utilization by those in need: education initiatives, meeting individuals where they are, and supportive housing.
  • Once people decide to seek care for a mental health problem, services that they value and want to access should be available to them in their community without undue financial burden. Services must be affordable, available, accessible, and acceptable.
  • Communities should be equipped to provide a well-coordinated and evidence-based continuum of mental health services to meet the needs of people with mental illnesses. For the continuum to succeed, it is necessary to guide individuals to a level of care that corresponds to their level of need, promote effective channels of communication and coordination within the continuum, and establish a payment structure that rewards evidence-based practices within the care continuum.
摘要

The United States is at a time of promise for historic transformation in mental health care. For decades, systemic problems have persisted — including high levels of unmet need, underdevelopment of community-based supports, and inequities in access and quality of care. In 2019, only 45 percent of people with a mental illness received any mental health treatment. This translates to unmet need for more than 30 million Americans. Additionally, despite similar levels of mental health care need, racial/ethnic minorities in the United States are about half as likely to use mental health care as non-Hispanic Whites. There are also striking geographic variations in availability of mental health specialty care, with rural areas particularly underserved.

,

Yet recent years have seen positive signs of change. Congress has passed key legislation — such as the 2008 Mental Health Parity and Addictions Equity Act — with overwhelmingly bipartisan support, states have endorsed an expanded role of Medicaid in providing coverage for individuals with serious mental illness who are often lower income and struggling with employment, and researchers have identified new evidence-based treatment models that health systems can implement.

,

This report provides recommendations to promote transformational change to improve the lives of the millions of Americans living with mental illness. To identify these recommendations, the authors conducted a broad review of policy ideas related to goals for the mental health system. They conducted an extensive analysis of mental health systems processes, policies, and solutions supported by evidence and received input from experts around the country.

目录
  • Chapter One

    Introduction

  • Chapter Two

    Promote Pathways to Care

  • Chapter Three

    Improve Access to Care

  • Chapter Four

    Establish an Evidence-Based Continuum of Care

  • Chapter Five

    Conclusion

  • Appendix A

    Methods

  • Appendix B

    Advisory Panel Members

主题Depression ; Health Care Reform ; Integrated Care ; Medicaid ; Mental Health Treatment ; United States
URLhttps://www.rand.org/pubs/research_reports/RRA889-1.html
来源智库RAND Corporation (United States)
引用统计
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/524328
推荐引用方式
GB/T 7714
Ryan K. McBain,Nicole K. Eberhart,Joshua Breslau,et al. How to Transform the U.S. Mental Health System: Evidence-Based Recommendations. 2021.
条目包含的文件
文件名称/大小 资源类型 版本类型 开放类型 使用许可
RAND_RRA889-1.pdf(8928KB)智库出版物 限制开放CC BY-NC-SA浏览
1610132746206.jpg(10KB)智库出版物 限制开放CC BY-NC-SA缩略图
浏览
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Ryan K. McBain]的文章
[Nicole K. Eberhart]的文章
[Joshua Breslau]的文章
百度学术
百度学术中相似的文章
[Ryan K. McBain]的文章
[Nicole K. Eberhart]的文章
[Joshua Breslau]的文章
必应学术
必应学术中相似的文章
[Ryan K. McBain]的文章
[Nicole K. Eberhart]的文章
[Joshua Breslau]的文章
相关权益政策
暂无数据
收藏/分享
文件名: RAND_RRA889-1.pdf
格式: Adobe PDF
此文件暂不支持浏览
文件名: 1610132746206.jpg
格式: JPEG

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。