减轻家庭照顾者负担的重要性:提供心理健康护理的挑战。

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-10-13 DOI:10.1007/s10880-024-10051-3
Allison J Applebaum, Timothy S Sannes
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引用次数: 0

摘要

越来越多的人认识到,美国 5300 万家庭照顾者面临着深刻的心理健康挑战,需要为这一弱势群体提供更多的社会心理治疗。家庭照顾者越来越多地寻求医院心理咨询中心的支持。这一趋势与促进提供照顾者支持和服务的公共政策环境相结合,凸显了心理健康专业人员在为家庭照顾者提供社会心理护理并收取费用时所面临的挑战。在本文中,我们将讨论心理健康专业人员在为家庭照顾者提供照顾时所面临的三个相互关联的挑战,以及随着医疗保健将更多的责任转嫁到家庭照顾者肩上,我们这个领域所需要面对的挑战:(1)照顾者的负担并没有被认定为一种正式的诊断;(2)目前为照顾者提供的文件通常与病人的就诊情况相关联;以及(3)为家庭照顾者提供的支持是在更大的系统性障碍中进行的,从而阻碍了心理健康的整合。通过准确描述和记录照顾者的负担,并倡导提高心理健康保险的平等性,我们希望该领域能够弥合新兴研究、政策发展势头和为这一弱势群体提供的社会心理服务之间的差距。
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The Importance of Honoring Family Caregiver Burden: Challenges in Mental Health Care Delivery.

There is growing recognition of the profound mental health challenges faced by the 53 million U.S. family caregivers, and the need for increased access to psychosocial care for this vulnerable population. Family caregivers are increasingly seeking support from hospital-based counseling centers. This trend-combined with a public policy landscape that promotes the delivery of caregiver-specific supports and services-highlights challenges faced by mental health professionals to provide and bill for psychosocial care to family caregivers. In this paper, we discuss three interrelated challenges that mental health professionals face in providing care to family caregivers and which our field needs to confront as healthcare transfers more responsibilities onto the shoulders of family caregivers: (1) caregiver burden is not recognized as a formal diagnosis; (2) current documentation for caregivers is typically linked to patient encounters; and (3) support for family caregivers occurs within larger systematic barriers to mental health integration. By accurately describing and documenting caregiver burden and advocating for increased parity in mental health coverage, we hope that the field can bridge the gap between emerging research, momentum in policy, and available psychosocial services for this vulnerable population.

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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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