Enhanced Service Capacity for Severe Mental Illness: A Comparative Analysis of Certified Community Behavioral Health Centers, Community Mental Health Centers, and Federally Qualified Health Centers
本研究利用2022年全国调查数据，比较了认证社区行为健康中心、社区精神卫生中心和联邦合格健康中心为严重精神疾病患者提供精神科、健康管理及社会服务的差异，发现认证中心服务更全面。
OBJECTIVES: The objective of this study is to update estimates of comprehensive service availability among CCBHCs and compare them to other settings serving individuals with severe mental illness, including community mental health centers (CMHCs) and federally qualified health centers (FQHCs). STUDY DESIGN AND SETTING: This study is a cross-sectional secondary data analysis. DATA SOURCES AND ANALYTIC SAMPLE: Using 2022 National Substance Use and Mental Health Services Survey (N-SUMHSS) data, logistic regression examined associations between service setting (CCBHC, CMHC, FQHC) and the availability of psychiatric, health management, and navigation, and social care services. PRINCIPLE FINDINGS: Compared to CCBHCs, FQHC designation was associated with a decreased likelihood of offering psychiatric rehabilitation services, including ACT (marginal effect = -0.26, 95% CI: -0.33 to -0.19) and peer coaching (marginal effect = -0.36, 95% CI: -0.43 to -0.29), and psychiatric crisis intervention (marginal effect = -0.14, 95% CI: -0.22 to -0.07). Rates of health management services were comparable to those at CCBHCs. CMHCs were also less likely to offer health management services (marginal effect = -0.26, 95% CI: -0.32 to -0.21) and a range of psychiatric rehabilitation services relative to CCBHCs. CONCLUSIONS: CCBHC certified clinics were more likely to offer psychiatric and social services than FQHC or CMHC clinics serving individuals with severe mental illness.