发布求助
文献互助 智能选刊 最新文献

Journal of mental health administration最新文献

筛选
英文 中文
The costs of mental health services under the Fort Bragg Demonstration. 布拉格堡示范项目下的精神卫生服务费用。
Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02518646
E M Foster, W T Summerfelt, R C Saunders
{"title":"The costs of mental health services under the Fort Bragg Demonstration.","authors":"E M Foster,&nbsp;W T Summerfelt,&nbsp;R C Saunders","doi":"10.1007/BF02518646","DOIUrl":"https://doi.org/10.1007/BF02518646","url":null,"abstract":"<p><p>This article examines the costs of treatment under the Fort Bragg Demonstration. It focuses on the direct costs of mental health services and suggests that expenditures on those services were much higher at the Demonstration. Increased access and greater \"doses\" of services provided at the Demonstration are identified as the proximal causes of the system-level cost difference. Consideration is given to whether these differences in costs and in service use can be attributed to the continuum of care per se or to differences in the financial arrangements under which care was provided. Supplemental analyses suggest that these expenditures were not offset by cost savings elsewhere. Implications for mental health policy are discussed.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02518646","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21025372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Use of the public mental health system by children in foster care: client characteristics and service use patterns. 寄养儿童对公共精神卫生系统的使用:客户特征和服务使用模式。
Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02521024
E Blumberg, J Landsverk, E Ellis-MacLeod, W Ganger, S Culver
{"title":"Use of the public mental health system by children in foster care: client characteristics and service use patterns.","authors":"E Blumberg,&nbsp;J Landsverk,&nbsp;E Ellis-MacLeod,&nbsp;W Ganger,&nbsp;S Culver","doi":"10.1007/BF02521024","DOIUrl":"https://doi.org/10.1007/BF02521024","url":null,"abstract":"","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02521024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19927594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 37
The changing careers of patients with chronic mental illness: a study of sequential patterns in mental health service utilization. 慢性精神疾病患者转行:心理健康服务利用顺序模式的研究
Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02521029
A K Wuerker
{"title":"The changing careers of patients with chronic mental illness: a study of sequential patterns in mental health service utilization.","authors":"A K Wuerker","doi":"10.1007/BF02521029","DOIUrl":"https://doi.org/10.1007/BF02521029","url":null,"abstract":"<p><p>The aim of this study was to describe patterns of service use over time by a group of persons with chronic mental illness who were homeless at the time of the index admission. Subjects were all persons admitted to Skid Row Mental Health Services in a recent year who had 25 or more previous admissions to any Los Angeles County Department of Mental Health service (N = 49). Sequences of type of service at each of the 25 admissions were compared with optimal matching and categorized with cluster analysis. Patients in earlier clusters had many inpatient admissions; those in later clusters had many admissions to outpatient, residential, and jail services. Service use by individuals in each cluster showed the same trends. However, there were also different patterns of service use for patients in cluster within the same tie frame. Analyzing multiple admissions sequentially helps to locate likely places to intervene in downward-spiraling careers.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02521029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19927598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Social model treatment and individuals with dual diagnoses: an ethnographic analysis of therapeutic practice. 社会模式治疗与双重诊断的个体:治疗实践的民族志分析。
Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02522302
D Weinberg, P Koegel
{"title":"Social model treatment and individuals with dual diagnoses: an ethnographic analysis of therapeutic practice.","authors":"D Weinberg,&nbsp;P Koegel","doi":"10.1007/BF02522302","DOIUrl":"https://doi.org/10.1007/BF02522302","url":null,"abstract":"<p><p>Concurrent substance and psychiatric problems have been shown to significantly reduce the probability of successful treatment outcomes while increasing vulnerability to a range of troubles including homelessness, incarceration, physical health problems, and criminal victimization. This article presents an ethnographic analysis of treatment processes in a residential social model treatment program specifically designed for individuals with dual diagnoses in an effort to inform current debates with empirically grounded knowledge regarding therapeutic practice itself. The article focuses on four fundamental themes bearing on therapeutic practice in this residential program: social model treatment; the formulation of clinical identities; recovery, personal responsibility, and authority; and the measurement of therapeutic success. In conclusion, the article suggests that the central role played by program residents in the therapeutic process deserves particular attention and makes recommendations regarding mental health services delivery that, if followed, might invigorate treatment efficacy.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02522302","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21044242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Outcomes of mental health and drug abuse treatment 心理健康和药物滥用治疗的结果
Journal of mental health administration Pub Date : 1995-06-01 DOI: 10.1007/BF02521116
R. Lennox
{"title":"Outcomes of mental health and drug abuse treatment","authors":"R. Lennox","doi":"10.1007/BF02521116","DOIUrl":"https://doi.org/10.1007/BF02521116","url":null,"abstract":"","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02521116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51653134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Parenting and the significance of children for women with a serious mental illness 养育子女对患有严重精神疾病的妇女的意义
Journal of mental health administration Pub Date : 1995-03-01 DOI: 10.1007/BF02518758
C. Mowbray, D. Oyserman, Scott Ross
{"title":"Parenting and the significance of children for women with a serious mental illness","authors":"C. Mowbray, D. Oyserman, Scott Ross","doi":"10.1007/BF02518758","DOIUrl":"https://doi.org/10.1007/BF02518758","url":null,"abstract":"","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02518758","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51647119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 53
Alaska Youth Initiative: the dream, the reality. 阿拉斯加青年倡议:梦想，现实。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02521125
B A Minton
{"title":"Alaska Youth Initiative: the dream, the reality.","authors":"B A Minton","doi":"10.1007/BF02521125","DOIUrl":"https://doi.org/10.1007/BF02521125","url":null,"abstract":"<p><p>Many states have been interested in revising their systems of care for young people. The Alaska Youth Initiative (AYI) attempted to improve the system of care by providing community-based, individualized services to youths who would otherwise be institutionalized outside the state. Major policy changes included emphasis on local service provision, individualized services, unconditional care, and coordination of services. The AYI's performance on its original goals is mixed. Complications in implementation arose from lack of provider training, conflict over coordination at the state level, and difficulty in individualizing programs. Although significant successes have occurred, administrators could improve the implementation of similar types of programs by making specific plans to address concerns of various stakeholders, providing fiscal incentives for cooperation for state workers, and providing ongoing training in both clinical and administrative areas.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02521125","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21016278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Coordinated services for children's mental health: a process evaluation. 儿童心理健康协调服务:过程评价。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02518629
R Ellmer, L Lein, P Hormuth
{"title":"Coordinated services for children's mental health: a process evaluation.","authors":"R Ellmer,&nbsp;L Lein,&nbsp;P Hormuth","doi":"10.1007/BF02518629","DOIUrl":"https://doi.org/10.1007/BF02518629","url":null,"abstract":"<p><p>This article reports on a process evaluation of the Texas Children's Mental Health Plan, a statewide initiative to provide interagency coordinated mental health services to severely emotionally disturbed children and their families. Researchers followed the activities of the state management team and three local sites during the first year and a half of the project's implementation. This article delineates the major positive effects of the plan as well as the facilitating factors and barriers to the development of such an effort.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02518629","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21023680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Regional variation in service system performance: comparing the perceptions of key stakeholders. 服务系统绩效的区域差异:比较关键利益相关者的看法。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02519199
W H Fisher, B Dickey
{"title":"Regional variation in service system performance: comparing the perceptions of key stakeholders.","authors":"W H Fisher,&nbsp;B Dickey","doi":"10.1007/BF02519199","DOIUrl":"https://doi.org/10.1007/BF02519199","url":null,"abstract":"<p><p>Area variation studies rarely focus on perceptions of service system performance in their comparative analyses. Using an instrument designed specifically for assessing key stakeholders' perceptions of the performance of mental health service delivery systems, this study compared three areas in Massachusetts that differ significantly with regard to service system structure and resource allocation. Despite these differences, key stakeholders' perceptions of service adequacy, availability, quality, and coordination did not vary substantially, although the findings suggest that to some extent organizational structure may have more effect than resource availability and allocation on perceptions of key stakeholders within the three systems. These differences were also of far less magnitude than differences in hospitalization rates and other more traditional measures of service system performance. The authors argue that stakeholders' perceptions should be considered, along with other standard performance measures, in evaluating service system performance.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02519199","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21013471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medical and health care needs of families providing in-home care for relatives with developmental disabilities. 为有发育障碍的亲属提供居家护理的家庭的医疗和保健需求。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02519201
M Arnold, D Serpas, T Case, M Burns, J DiPolito, E Cummings
{"title":"Medical and health care needs of families providing in-home care for relatives with developmental disabilities.","authors":"M Arnold,&nbsp;D Serpas,&nbsp;T Case,&nbsp;M Burns,&nbsp;J DiPolito,&nbsp;E Cummings","doi":"10.1007/BF02519201","DOIUrl":"https://doi.org/10.1007/BF02519201","url":null,"abstract":"<p><p>The purpose of this investigation was to attempt to describe the health care needs of families providing in-home care to members with developmental disabilities as well as the characteristics and demographics of families providing in-home care. The survey included 761 families who participated in a federal demonstration project in rural southern Georgia. The results indicated that impoverished families need increased assistance to provide adequate medical and health care when providing in-home care to relatives experiencing developmental disabilities. Implications for administration of programs and development of policies are discussed.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02519201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21013473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
首页 上一页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信