@article{ref1,
title="The Changing Landscape of Community Mental Health Care: Availability of Treatment Services in National Data, 2010-2017",
journal="Psychiatric services",
year="2021",
author="Cummings, Janet R. and Smith, Joseph L. and Cullen, Sara W. and Marcus, Steven C.",
volume="72",
number="2",
pages="204-208",
abstract="OBJECTIVE: The authors sought to describe changes in availability of crisis and substance use treatment services in U.S. mental health facilities (including outpatient and inpatient facilities) from 2010 to 2017. METHODS: Using National Mental Health Services Survey data, the authors of this descriptive study examined changes in the proportion of facilities providing crisis and substance use treatment services during the 2010-2017 period. RESULTS: Although the proportion of outpatient facilities offering treatment for substance use increased significantly during the period studied (adjusted relative risk [ARR]=1.05, 95% confidence interval [CI]=1.01-1.10), the proportion of outpatient facilities offering crisis services significantly decreased, including emergency psychiatric walk-in services (ARR=0.81, 95% CI=0.75-0.88) and crisis intervention (ARR=0.88, 95% CI=0.83-0.93). CONCLUSIONS: Mental health facilities are an integral piece of the behavioral health safety net and need to respond to changes in service needs. <br><br>FINDINGS suggest that mental health facilities have not shifted their services mix to address the ongoing suicide epidemic.<p /><p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.201900546",
url="http://dx.doi.org/10.1176/appi.ps.201900546"
}