Homeless Caseload is Associated with Behavioral Health and Case Management Staffing in Health Centers

被引:7
作者
Jones, Emily B. [1 ,2 ]
Zur, Julia [2 ]
Rosenbaum, Sara [2 ]
机构
[1] US Dept Hlth & Human Serv, Div Behav Hlth & Intellectual Disabil Policy, Off Disabil Aging & Long Term Care Policy, Off Assistant Secretary Planning & Evaluat, 200 Independence Ave SW,Off 424E-24, Washington, DC 20201 USA
[2] George Washington Univ, Milken Inst Sch Publ Hlth & Hlth Serv, Dept Hlth Policy & Management, 2141 K St NW, Washington, DC 20037 USA
关键词
Homeless; Safety net; Case management; Workforce; AFFORDABLE CARE ACT; MEDICAID EXPANSION; SUBSTANCE-ABUSE; MENTAL-HEALTH; SERVICES; PEOPLE; TRENDS; ADULTS; COSTS;
D O I
10.1007/s10488-015-0674-5
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Community health centers provide co-located medical, behavioral, and case management services to meet the unique and complex needs of the underserved, including homeless individuals. Multivariate analysis of staffing patterns in health centers serving high homeless caseloads highlights above-average behavioral and case management staffing, regardless of Health Care for the Homeless funding status. Rural health centers and those in the South had lower behavioral health and enabling services staffing. Implications include the need to monitor disparities, link health centers with available technical assistance, and emphasize integrating co-located behavioral health, enabling, and medical services through grant oversight mechanisms.
引用
收藏
页码:492 / 500
页数:9
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