TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Child
KW - Community Mental Health Centers/statistics & numerical data/trends
KW - Community Mental Health Services/statistics & numerical data/trends
KW - Continental Population Groups
KW - Demography
KW - Ethnic Groups
KW - Female
KW - Humans
KW - Male
KW - Mental Health Services/statistics & numerical data/trends
KW - Middle Aged
KW - Poverty/statistics & numerical data
KW - Primary Health Care/statistics & numerical data/trends
KW - Substance-Related Disorders/rehabilitation
KW - United States
AU - B. G. Druss
AU - T. Bornemann
AU - Y. W. Fry-Johnson
AU - H. G. McCombs
AU - R. M. Politzer
AU - G. Rust
A1 - 
AB - OBJECTIVE: We examined trends in delivery of mental health and substance abuse services at the nation's community health centers. METHODS: Analyses used data from the Health Resources and Services Administration (HRSA), Bureau of Primary Care's (BPHC) 1998 and 2003 Uniform Data System, merged with county-level data. RESULTS: Between 1998 and 2003, the number of patients diagnosed with a mental health/substance abuse disorder in community health centers increased from 210,000 to 800,000. There was an increase in the number of patients per specialty mental health/substance abuse treatment provider and a decline in the mean number of patient visits, from 7.3 visits per patient to 3.5 by 2003. Although most community health centers had some on-site mental health/substance abuse services, centers without on-site services were more likely to be located in counties with fewer mental health/substance abuse clinicians, psychiatric emergency rooms, and inpatient hospitals. CONCLUSIONS: Community health centers are playing an increasingly central role in providing mental health/substance abuse treatment services in the United States. It is critical both to ensure that these centers have adequate resources for providing mental health/substance abuse care and that they develop effective linkages with mental health/substance abuse clinicians in the communities they serve.
BT - American Journal of Public Health
C5 - Financing & Sustainability; Healthcare Disparities
CP - 10
CY - United States
DO - 10.2105/AJPH.2005.076943
IS - 10
JF - American Journal of Public Health
N2 - OBJECTIVE: We examined trends in delivery of mental health and substance abuse services at the nation's community health centers. METHODS: Analyses used data from the Health Resources and Services Administration (HRSA), Bureau of Primary Care's (BPHC) 1998 and 2003 Uniform Data System, merged with county-level data. RESULTS: Between 1998 and 2003, the number of patients diagnosed with a mental health/substance abuse disorder in community health centers increased from 210,000 to 800,000. There was an increase in the number of patients per specialty mental health/substance abuse treatment provider and a decline in the mean number of patient visits, from 7.3 visits per patient to 3.5 by 2003. Although most community health centers had some on-site mental health/substance abuse services, centers without on-site services were more likely to be located in counties with fewer mental health/substance abuse clinicians, psychiatric emergency rooms, and inpatient hospitals. CONCLUSIONS: Community health centers are playing an increasingly central role in providing mental health/substance abuse treatment services in the United States. It is critical both to ensure that these centers have adequate resources for providing mental health/substance abuse care and that they develop effective linkages with mental health/substance abuse clinicians in the communities they serve.
PP - United States
PY - 2006
SN - 1541-0048; 0090-0036
SP - 1779
EP - 1784
EP - 
T1 - Trends in Mental Health and Substance Abuse Services at the Nation's Community Health Centers: 1998-2003
T2 - American Journal of Public Health
TI - Trends in Mental Health and Substance Abuse Services at the Nation's Community Health Centers: 1998-2003
U1 - Financing & Sustainability; Healthcare Disparities
U2 - 17008573
U3 - 10.2105/AJPH.2005.076943
VL - 96
VO - 1541-0048; 0090-0036
Y1 - 2006
ER -