Abstract：
:Mental health has been recognized as a public health priority for nearly a century. Little is known, however, about what local health departments (LHDs) do to address the mental health needs of the populations they serve. Using data from the 2013 National Profile of Local Health Departments - a nationally representative survey of LHDs in the United States (N=505) - we characterized LHDs' engagement in eight mental health activities, factors associated with engagement, and estimated the proportion of the U.S. population residing in jurisdictions where these activities were performed. We used Handler's framework of the measurement of public health systems to select variables and examined associations between LHD characteristics and engagement in mental health activities using bivariate analyses and multilevel, multivariate logistic regression. Assessing gaps in access to mental healthcare services (39.3%) and implementing strategies to improve access to mental healthcare services (32.8%) were the most common mental health activities performed. LHDs that provided mental healthcare services were significantly more likely to perform population-based mental illness prevention activities (adjusted odds ratio: 7.1; 95% CI: 5.1, 10.0) and engage in policy/advocacy activities to address mental health (AOR: 3.9; 95% CI: 2.7, 5.6). Our study suggests that many LHDs are engaged in activities to address mental health, ranging from healthcare services to population-based interventions, and that LHDs that provide healthcare services are more likely than others to perform mental health activities. These findings have implications as LHDs reconsider their roles in the era of the Patient Protection and Affordable Care Act and LHD accreditation.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Purtle J,Klassen AC,Kolker J,Buehler JWdoi
10.1016/j.ypmed.2015.11.007subject
Has Abstractpub_date
2016-01-01 00:00:00pages
20-7eissn
0091-7435issn
1096-0260pii
S0091-7435(15)00334-5journal_volume
82pub_type
杂志文章abstract：BACKGROUND:This study was undertaken to assess the safety and efficacy of a treatment involving brief counseling and the nicotine patch among hospital inpatients and to identify variables associated with long-term smoking cessation following hospitalization. METHODS:One hundred eighty-five patients were randomly assig...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Preventive medicine
pub_type： 杂志文章
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pub_type： 杂志文章
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pub_type： 临床试验,杂志文章
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journal_title：Preventive medicine
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journal_title：Preventive medicine
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pub_type： 杂志文章
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journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2004-11-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
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journal_title：Preventive medicine
pub_type： 杂志文章
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更新日期：2002-09-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章,评审
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pub_type： 杂志文章,评审
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journal_title：Preventive medicine
pub_type： 杂志文章
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1997.0152
更新日期：1997-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：2001-01-01 00:00:00
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journal_title：Preventive medicine
pub_type： 临床试验,杂志文章
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更新日期：2004-07-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
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更新日期：2016-12-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
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更新日期：2019-04-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章
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pub_type： 杂志文章
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