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Mental health care equity and access: A group therapy solution.
American Psychologist ( IF 16.4 ) Pub Date : 2023-04-04 , DOI: 10.1037/amp0001078
Martyn Whittingham 1 , Cheri L Marmarosh 2 , Peter Mallow 3 , Michael Scherer 4
Affiliation  

Mental health services are experiencing unprecedented levels of demand from clients during COVID resulting in longer wait lists and therapist burnout. As Nemoyer et al. (2019) point out, minorities experience a higher burden of mental illness while having less access and lower quality treatments. COVID has increased demands for mental health services even further, creating bottlenecks of care, therapist burnout, and leading to ever longer wait lists. This article will argue that inefficient supply of services is created by mental health providers being incentivized toward individual therapy. Group therapy offers a solution because it is a "triple E treatment"-efficient, effective, and equivalent to individual therapy in terms of outcomes (Burlingame & Strauss, 2021). Group interventions also address systemic racism and the needs of minorities who have been marginalized and cope with minority stress. This article will utilize a labor and financial impact analysis to demonstrate how increasing group therapy by 10% nationally, particularly in private practice and primary care integration settings, would increase treatment access for over 3.5 million people while reducing the need for 34,473 additional new therapists and simultaneously saving over $5.6 billion. It will discuss how incentivizing groups while holding therapists accountable for training, competency when working with people from diverse backgrounds, and outcomes can result in improved efficiency. This will allow therapists greater freedom to collaboratively select the most effective treatments for those from underserved and minority backgrounds and create easier access to quality treatments. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译:

心理保健公平和获取:团体治疗解决方案。

在 COVID 期间,心理健康服务正经历着来自客户的前所未有的需求,导致更长的等待名单和治疗师倦怠。作为 Nemoyer 等人。(2019) 指出,少数族裔在获得较少机会和较低质量治疗的同时,精神疾病负担更高。COVID 进一步增加了对心理健康服务的需求,造成了护理瓶颈、治疗师倦怠,并导致等待名单越来越长。本文将论证,低效的服务供应是由心理健康提供者被激励进行个体治疗造成的。团体治疗提供了一种解决方案,因为它是一种“三重 E 治疗”——高效、有效,并且在结果方面等同于个体治疗(Burlingame & Strauss,2021)。团体干预还解决系统性种族主义和被边缘化的少数群体的需求,并应对少数群体的压力。本文将利用劳动力和财务影响分析来证明在全国范围内将团体治疗增加 10%,特别是在私人诊所和初级保健整合环境中,将如何增加超过 350 万人的治疗机会,同时减少对 34,473 名额外新治疗师和同时节省超过 56 亿美元。它将讨论如何在激励团队的同时让治疗师负责培训、与来自不同背景的人合作时的能力以及结果如何提高效率。这将使治疗师有更大的自由,可以合作为那些来自服务不足和少数族裔背景的人选择最有效的治疗方法,并让他们更容易获得优质治疗。(PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。
更新日期:2023-04-04
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