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首页> 外文会议>SPE International Conference on Health, Safety and Environment >Integrating Mental and Behavioral Health into Primary Care Clinics to Develop a System of Care Following the Deepwater Horizon Oil Spill
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Integrating Mental and Behavioral Health into Primary Care Clinics to Develop a System of Care Following the Deepwater Horizon Oil Spill

机译：将精神和行为健康整合到初级保健诊所，以开发深水地平线漏油后的护理系统

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1. This presentation will focus on the importance of behavioral health services in meeting community, physical and mental health needs. 2. The Mental and Behavioral Health Capacity Project (MBHCP) is part of the Gulf Region Health Outreach Program (GRHOP), covering impacted coastal regions of Louisiana, Mississippi, Alabama, and Florida. In collaboration with the Primary Care Capacity Project (PCCP) and other GRHOP projects, MBHCP is tasked with developing a sustainable system of mental and behavioral health care, decreasing barriers to care, and increasing access to care within primary care clinics. MBHCP directly delivers evidence-based therapeutic and supportive services to the clinics with on-site and telemedical psychiatric and psychological consultation and centralized care management. Lending relevance to the work, community surveillance data collected by LSUHSC Department of Psychiatry (the Louisiana MBHCP partner) in the Fall of 2010 and again one year post oil spill revealed increased symptoms of depression, anxiety and post-traumatic stress compared to national norms, with symptom scores higher for individuals directly impacted by the spill. A higher sense of ability to cope or bounce back from adversity was associated with fewer mental health symptoms. 3. Louisiana MBHCP data shows that a large number of clients are being referred by primary care providers for collaborative mental health services. The data show that the integration of mental and behavioral health services into primary care clinics has resulted in significant decreases at follow-up of depression, generalized anxiety and post-traumatic stress symptoms. Additionally, a greater decrease in mental health symptoms correlates with a greater decrease in physical health symptoms. Clinic feedback indicates enhanced comfort in dealing with complex mental health conditions. 4. Attention to the ecosystem is of fundamental priority in dealing with the impact of the Deepwater Horizon Oil Spill. It is important to address the interdependence of the multiple components of the ecosystem and the importance of integration of mental and behavioral health services into primary care. Evidence-based mental health consultations and therapeutic services delivered onsite and with telemedicine can significantly improve physical and mental health of clients. Vicarious traumazation of clinic staff can be addressed, and clinic resilience to future disasters can be increased.
机译：1.本演示文稿将侧重于行为卫生服务在满足社区，身心健康需求方面的重要性。 2.心理和行为健康能力项目（MBHCP）是海湾地区卫生外展计划（GRHOP）的一部分，涵盖路易斯安那州，密西西比州，阿拉巴马州和佛罗里达州的受影响的沿海地区。与初级保健能力项目（PCCP）和其他GRHOP项目合作，MBHCP负责制定可持续的精神和行为保健系统，减少护理障碍，并在初级保健诊所内越来越多地进行护理。 MBHCP直接向现场和远程医疗精神病和心理咨询和集中护理管理提供证据的治疗性和支持性服务。借用与工作相关的相关性，LSUHSC精神病学系（Louisiana MBCP合作伙伴）收集的社区监测数据在2010年秋季又一年内泄漏泄漏症状，与国家规范相比，抑郁症，焦虑和创伤后应力的症状增加，对于直接受到泄漏影响的个体，症状评分更高。从逆境的应对或反弹的能力较高的能力与较少的心理健康症状有关。路易斯安那州MBHCP数据显示，大量客户正在被初级保健提供者推荐用于协作心理健康服务。数据显示，精神和行为健康服务进入初级保健诊所的整合导致抑郁，广义焦虑和后创伤后应激症状的随访显着降低。此外，心理健康症状的更大减少与身体健康症状的更大降低相关。诊所的反馈表明，在处理复杂的心理健康状况方面提高了舒适性。 4.对生态系统的关注在处理深水地平线漏油的影响方面是基本的优先事项。重要的是要解决生态系统多个组成部分的相互依存，以及将精神和行为卫生服务整合到初级保健中的重要性。现场提供的循证心理健康咨询和治疗服务可以显着提高客户的身心健康。可以解决临床工作人员的替代创伤，并且可以增加未来灾害的诊所弹性。

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