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Treatment of Veterans with Psychiatric Diagnoses Nationally in the Veterans Health Administration: A Comparison of Service Delivery by Mental Health Specialists and Other Providers

机译:在退伍军人卫生管理局中与精神病诊断的退伍军人治疗:心理健康专家和其他提供者的服务交付比较

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摘要

Patients with psychiatric disorders are treated by both mental health specialists and non-specialists. We use national data from the Veterans Health Administration to evaluate changing proportions of patients seen exclusively by non-specialists during the study year (FY 2012) limit as well as differences in socio-demographic, clinical and service use characteristics. There has been a five-fold increase in veterans with mental disorders seen by non-specialists over 20 years from 7 to 38%, findings similar to those in non-VA settings. Veterans treated by mental health specialists were younger, more likely to have been homeless and disabled, and had more severe and more numerous psychiatric diagnoses. There is a need to maintain specialty services and to strengthen non-specialty care through education and research.
机译:精神疾病患者由心理健康专家和非专家治疗。 我们使用退伍军人健康管理局的国家数据来评估在研究年度的非专家(2012财年)限制以及社会人口统计,临床和服务使用特征的差异。 Veterans增加了5倍,由非专家从7到38%的非专家看到的精神障碍,结果类似于非VA设置的结果。 精神卫生专家治疗的退伍军人更年轻,更有可能无家可归,并且具有更严重和更有的精神病诊断。 需要维护专业服务,并通过教育和研究加强非专业护理。

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