Market Factors Associated with Comprehensive Behavioral Health Crisis Care Availability: A Resource Dependence Theory Study.

IF 1.7 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2024-01-01 DOI:10.1177/00469580241256822

Ashlyn Burns, Joshua R Vest, Nir Menachemi, Olena Mazurenko, Michelle P Salyers, Valerie A Yeager

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Abstract

Behavioral health crisis care (BHCC) is a care delivery model for individuals experiencing acute distress related to a mental health or substance use disorder. We examined market factors associated with comprehensive BHCC availability using 2022 data on mental health treatment facilities (n = 9385) obtained from the Substance Abuse and Mental Health Services Administration. We aggregated facility-level data by county (n = 3142) and merged with county-level market factors. Logistic regression models were used to examine the adjusted associations between market factors and BHCC availability. We found that 468 (14.9%) counties had at least one mental health treatment facility offering comprehensive BHCC services. Specifically, counties with more mental health providers (Adjusted Odds Ratio = 2.26, Confidence Interval = 1.32-3.86) and metropolitan counties (AOR = 3.26, CI = 1.95-5.43) had higher odds of having a comprehensive BHCC facility. Our findings highlight the importance of developing the mental health workforce to increase BHCC availability and a need to address disparities in rural counties.

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与综合行为健康危机护理可用性相关的市场因素：资源依赖理论研究。

行为健康危机护理（BHCC）是一种针对因精神健康或药物使用障碍而遭受急性痛苦的患者的护理模式。我们利用药物滥用和心理健康服务管理局提供的 2022 年心理健康治疗机构数据（n = 9385），研究了与综合 BHCC 可用性相关的市场因素。我们按县汇总了设施级数据（n = 3142），并与县级市场因素合并。我们使用逻辑回归模型来检验市场因素与 BHCC 可用性之间的调整关联。我们发现，有 468 个（14.9%）县至少有一家精神健康治疗机构提供综合 BHCC 服务。具体来说，拥有更多心理健康服务提供者的县（调整比值比 = 2.26，置信区间 = 1.32-3.86）和大都市县（调整比值比 = 3.26，置信区间 = 1.95-5.43）拥有综合性 BHCC 设施的几率更高。我们的研究结果凸显了发展心理健康人才队伍以提高 BHCC 可用性的重要性，以及解决农村地区差异的必要性。

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来源期刊

Inquiry-The Journal of Health Care Organization Provision and Financing 医学-卫生保健

CiteScore

2.50

自引率

0.00%

发文量

192

审稿时长

>12 weeks

期刊介绍： INQUIRY is a peer-reviewed open access journal whose msision is to to improve health by sharing research spanning health care, including public health, health services, and health policy.