Journal of mental health administration最新文献_第8页

Implementing a system of care: findings from the Fort Bragg evaluation project. 实施护理系统:来自布拉格堡评估项目的调查结果。

Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02518640

C A Heflinger

引用次数: 8

Deliberate self-harm and substance dependence: the management of patients seen in the general hospital. 故意自残和物质依赖:综合医院病人的管理。

Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02519115

K Wylie, A House, D Storer, D Raistrick, M Henderson

引用次数: 5

Methodological issues in evaluating mental health outcomes of a children's mental health managed care demonstration. 评估儿童心理健康管理护理示范的心理健康结果的方法学问题。

Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02518642

C S Breda

引用次数: 13

The evaluation of a children's mental health managed care demonstration. 儿童心理健康管理护理示范评价。

Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02518639

L Bickman

引用次数: 36

The political development of "Program Realignment": California's 1991 mental health care reform. “项目调整”的政治发展:加州1991年的精神卫生保健改革。

Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02519108

M C Masland

{"title":"The political development of \"Program Realignment\": California's 1991 mental health care reform.","authors":"M C Masland","doi":"10.1007/BF02519108","DOIUrl":"https://doi.org/10.1007/BF02519108","url":null,"abstract":"This article reviews the legislative process that resulted in the most significant reform of California's public mental health system in nearly 25 years. The reform, termed \"Program Realignment,\" decentralized administrative and fiscal control of the mental health system from the state to the county level. The system prior to Program Realignment is discussed here to reveal an already diverse and decentralized county mental health system, fiscal distress, and general dissatisfaction with the system. From these conditions, the objectives of the relevant political actors arose. By tracing the policy development process of Program Realignment, several independent variables are revealed that help explain how and why this legislation came into being and allow generalization of this case to other states' experiences. These independent variables are an urgent need for action within a limited timeframe, a preexisting knowledge base and well-developed policy networks, a spirit of bipartisan cooperation, and the presence of strong leadership. Preliminary evidence suggests that consolidation of fiscal and programmatic authority at the local level has reduced fragmentation of services and increased fiscal flexibility. However, there is concern that the quality of care offered by the state's 59 local mental health programs will become increasingly disparate and that increased financial flexibility may not be used to improve services for clients but to save money for local governments. Lessons from California's experience can alert other states to the pros and cons of this policy approach to providing mental health services and inform policymakers in other states of the steps involved in bringing about such a policy change.","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/BF02519108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21028823","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

Residential alternatives to hospitalization for patients with severe and persistent mental illness: should patients with comorbid substance abuse be excluded? 严重和持续性精神疾病患者住院治疗的替代方案:是否应排除合并药物滥用的患者?

Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02522308

J M Herrell, W Fenton, L R Mosher, S Hedlund, B Lee

{"title":"Residential alternatives to hospitalization for patients with severe and persistent mental illness: should patients with comorbid substance abuse be excluded?","authors":"J M Herrell, W Fenton, L R Mosher, S Hedlund, B Lee","doi":"10.1007/BF02522308","DOIUrl":"https://doi.org/10.1007/BF02522308","url":null,"abstract":"Residential alternatives to hospitalization for adults with severe mental illness in crisis were not designed for, and often exclude, persons with coexisting substance abuse disorders. Given high comorbidity rates, however, it is important to know whether residential alternatives can be effective for patients with dual diagnoses. To explore the impact of comorbidity on treatment outcomes, structured interviews were conducted at admission and discharge with 92 consecutive admissions to a residential alternative. Using the Structured Clinical Interview for DSM-III-R, two groups were identified: 24 patients with and 68 patients without comorbid substance abuse disorders. At admission, the two groups were similar in demographic and clinical characteristics. The treatment was effective independent of comorbidity; at discharge, treatment success, symptom improvement, and patient satisfaction were similar for both groups. Persons with coexisting substance abuse disorders remained in residence a week longer, but the difference was not statistically significant. Residential alternatives appear suitable for patients with dual diagnoses.","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/BF02522308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21044094","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

A comprehensive system for value accounting in psychiatry. 精神病学价值核算的综合体系。

Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02521031

S F Butler, J P Docherty

引用次数: 2

Utilization of acute inpatient services for alcohol detoxification. 利用急性住院戒毒服务。

Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02521022

B M Booth, F C Blow, R L Ludke, R L Ross

引用次数: 5

Mental health services utilization in a children's mental health managed care demonstration. 儿童心理健康管理保健服务利用实证研究。

Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02518645

W T Summerfelt, E M Foster, R C Saunders

引用次数: 13

Parent satisfaction with children's mental health services in a children's mental health managed care demonstration. 儿童心理健康管理护理示范中家长对儿童心理健康服务的满意度。

Journal of mental health administration Pub Date : 1996-01-01 DOI: 10.1007/BF02518644

C A Heflinger, S E Sonnichsen, A M Brannan

{"title":"Parent satisfaction with children's mental health services in a children's mental health managed care demonstration.","authors":"C A Heflinger, S E Sonnichsen, A M Brannan","doi":"10.1007/BF02518644","DOIUrl":"https://doi.org/10.1007/BF02518644","url":null,"abstract":"This article presents findings from a quasi-experiment that included the use of satisfaction scales to compare parent's satisfaction with the services their children received through two different mental health care delivery systems. Satisfaction with the following three types of service were compared: (1) intake assessment during the admission process to any service setting, (2) outpatient services, and (3) residential treatment including inpatient hospitalization and residential treatment centers (RTCs). Additionally, satisfaction with several areas of care (e.g., access, treatment process, therapist relationship, parent and family services, discharge and transition planning), as well as global satisfaction, was assessed. In general, parents whose children received services through an innovative continuum of care system reported significantly higher satisfaction with intake assessment and outpatient services than did parents whose children received care in a traditional fee-for-service system. Fewer differences were found in satisfaction with residential services.","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/BF02518644","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21025632","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: 26