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Mental Health Task-shifting in Community-based Organizations

其他書名	Implementation, Impact, and Cost-evaluation of the Connections to Care Program
出版	RAND, 2020
URL	http://books.google.com.hk/books?id=OMY7zgEACAAJ&hl=&source=gbs_api

註釋Mental health problems, such as depression and anxiety, affect a substantial portion of the U.S. population. About 20 percent of Americans deal with these problems, and, among young adults, that figure is even higher, at just above 25 percent. Mental health problems disproportionately affect low-income individuals, racial and ethnic minorities, and those with low English proficiency. Left unaddressed, these problems can profoundly affect people's lives and their ability to care for themselves physically and emotionally. Easy-to-administer screening can detect mental health problems, and early intervention can stop or slow the progression of mild symptoms to more severe illness. But obtaining early intervention can be difficult because of a nationwide shortage of mental health care professionals. In both rural and urban areas, mental health professionals-particularly those who can deliver evidence-based treatments-are in short supply. To fill gaps in the mental health care workforce and lower barriers to accessing mental health care, regional governments and coalitions have been exploring new strategies to address mental health care delivery. One such effort, begun in 2016, is the Connections to Care (C2C) Collaborative in New York City, which has built an innovative model of delivering mental health screening and evidence-based interventions through staff at community-based organizations (CBOs) that already serve at-risk populations. RAND researchers describe the C2C model and their evaluation of its implementation; whether it had the intended effects on access and utilization of mental health care, mental health symptoms, and related outcomes (such as employment); and how much it costs CBOs.