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Journal of mental health administration最新文献

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Measuring program performance in methadone treatment using in-treatment outcomes: an illustration. 用治疗结果衡量美沙酮治疗方案的效果:一个例证。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02521117
C D Phillips, R L Hubbard, G Dunteman, D L Fountain, D Czechowicz, J R Cooper
{"title":"Measuring program performance in methadone treatment using in-treatment outcomes: an illustration.","authors":"C D Phillips,&nbsp;R L Hubbard,&nbsp;G Dunteman,&nbsp;D L Fountain,&nbsp;D Czechowicz,&nbsp;J R Cooper","doi":"10.1007/BF02521117","DOIUrl":"https://doi.org/10.1007/BF02521117","url":null,"abstract":"<p><p>Quality measurement and quality assurance in substance abuse treatment have, over the past few years, become a major policy issue. In addition, there is interest in the degree to which client outcomes can play a role in measuring treatment program performance. This article discusses the movement toward outcome-based performance measurement in substance abuse treatment. Examples of the products that such a performance measurement system might produce are provided. Why outcomes must be case-mix adjusted is discussed. In addition, using data from 18 methadone programs and more than 2,000 methadone clients from the Treatment Outcome Prospective Study, an illustration of case-mix-adjusted performance measurement is provided.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"22 3","pages":"214-25"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02521117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21044450","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: 6
Predictors of homeless veterans' irregular discharge status from a domiciliary care program. 无家可归退伍军人不规律出院状态的预测因素。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02521120
S L Wenzel, L Bakhtiar, N H Caskey, E Hardie, C Redford, N Sadler, L Gelberg
{"title":"Predictors of homeless veterans' irregular discharge status from a domiciliary care program.","authors":"S L Wenzel,&nbsp;L Bakhtiar,&nbsp;N H Caskey,&nbsp;E Hardie,&nbsp;C Redford,&nbsp;N Sadler,&nbsp;L Gelberg","doi":"10.1007/BF02521120","DOIUrl":"https://doi.org/10.1007/BF02521120","url":null,"abstract":"<p><p>This study addresses the relationship of homeless veterans' discharge status from a domiciliary care program to biopsychosocial characteristics presented at admission into the program. Hypotheses were that younger age, less education, and substance abuse or psychiatric disorder would predict an irregular discharge. Research participants were 367 homeless male veterans who had been admitted to a domiciliary care program at the West Los Angeles Veterans Affairs Medical Center for treatment of medical, psychiatric, or substance disorders. Status of veterans' program discharge (regular or irregular) served as the outcome measure. Logistic regression analysis revealed that irregular discharge from the program was more likely among veterans who were black, who had poor employment histories, or who had problems with alcohol. Results are discussed in light of the need to maintain homeless veterans in treatment programs so that they can achieve maximum benefit from available programs.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"22 3","pages":"245-60"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02521120","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21044451","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
The relationship between supply and hospitalization rates for mental illness and substance use disorders. 精神疾病和物质使用障碍的供应和住院率之间的关系。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02518756
M S Hendryx, M E Urdaneta, T Borders
{"title":"The relationship between supply and hospitalization rates for mental illness and substance use disorders.","authors":"M S Hendryx,&nbsp;M E Urdaneta,&nbsp;T Borders","doi":"10.1007/BF02518756","DOIUrl":"https://doi.org/10.1007/BF02518756","url":null,"abstract":"<p><p>This study investigated the extent to which mental illness and substance use hospitalization rates were related to the supply of psychiatric treatment services. Supply variables, notably the per capita rate of psychiatrists, primary care physicians, and specialty units, were strongly related to mental illness and substance use hospitalization rates to acute care hospitals across 114 small geographic areas in Iowa. The supply of outpatient services was not related to hospitalization rates. The need to study the reliability of patient assessment processes, refine guidelines and admissions criteria, and understand the contributions of supply variables to hospitalization rates are indicated by these results. A conceptual model is offered within which the dynamic cycle from patient functioning to service delivery may be framed.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"22 2","pages":"167-76"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02518756","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21014743","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
The impact of preadmission approval and continued stay review on hospital stay and outcome among children and adolescents. 入院前批准和继续住院审查对儿童和青少年住院时间和转归的影响
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02521122
S V Eisen, M Griffin, L I Sederer, B Dickey, S M Mirin
{"title":"The impact of preadmission approval and continued stay review on hospital stay and outcome among children and adolescents.","authors":"S V Eisen,&nbsp;M Griffin,&nbsp;L I Sederer,&nbsp;B Dickey,&nbsp;S M Mirin","doi":"10.1007/BF02521122","DOIUrl":"https://doi.org/10.1007/BF02521122","url":null,"abstract":"<p><p>Managed care has emerged as the centerpiece of the health care industry's efforts to control costs and ensure appropriate use of hospital services. This study assesses the impact of managed care by preadmission approval and/or continued stay review on length of psychiatric hospitalization and clinical outcome of children and adolescents. The sample included 277 cases hospitalized in nine psychiatric specialty hospitals in 1990. Demographic and clinical characteristics, hospital ownership type, and preadmission approval or continued stay review were used as independent variables in a multiple regression model to predict length of stay and clinical outcome. Results indicate that the model accounted for 27% of the variance in length of stay. Previous psychiatric hospitalization and for-profit hospital status predicted longer hospitalization. Clinical outcome was not significantly predicted by the model. Managed care did not predict either length of stay or clinical outcome. Implications for health care reform are discussed.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"22 3","pages":"270-7"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02521122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21015244","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: 9
State mental health agency spending, 1985-1990. 1985-1990年国家精神卫生机构开支。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02521126
T G McGuire, B M Porter
{"title":"State mental health agency spending, 1985-1990.","authors":"T G McGuire,&nbsp;B M Porter","doi":"10.1007/BF02521126","DOIUrl":"https://doi.org/10.1007/BF02521126","url":null,"abstract":"<p><p>Major differences exist among states in the level of spending on mental health care, in the magnitude and direction of changes in those levels, and in the share of resources devoted to state hospital and community-based services. Using data collected by the National Association of State Mental Health Program Directors (NASMHPD) Research Institute, this article describes those differences and examines their relation to a set of state-level fiscal determinants of mental health spending. Levels of spending in 1990 and rates of change in those levels between 1985 and 1990 show virtually no correlation. Changes in spending between 1985 and 1990 are decomposed into several components. States with high growth tend to have high growth in tax capacity and high growth in mental health spending as a share of health and welfare spending.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"22 3","pages":"301-19"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02521126","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21016279","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
Measures of impairment for children and adolescents. 儿童和青少年的损害措施。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02518634
K Hodges, J Gust
{"title":"Measures of impairment for children and adolescents.","authors":"K Hodges,&nbsp;J Gust","doi":"10.1007/BF02518634","DOIUrl":"https://doi.org/10.1007/BF02518634","url":null,"abstract":"<p><p>Measuring the degree of impairment in children and adolescents due to emotional or behavioral disorders is a recent development that will become increasingly important to states and their mental health administrators. A survey of the 50 states was conducted to identify impairment measures that were used on a statewide basis. The results of the survey are presented; five measures were found to be used consistently. The three global measures and two multidimensional measures identified in the survey are reviewed here. Each measure is described and its pertinent psychometric data are presented. The implications for mental health administrators in terms of implementing statewide procedures to assess impairment are considered.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"22 4","pages":"403-13"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02518634","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21023586","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: 57
Holding on to success: a case study in mental health care reform. 坚持成功:精神卫生保健改革案例研究。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02519195
T L Scheid, A Mayer
{"title":"Holding on to success: a case study in mental health care reform.","authors":"T L Scheid,&nbsp;A Mayer","doi":"10.1007/BF02519195","DOIUrl":"https://doi.org/10.1007/BF02519195","url":null,"abstract":"<p><p>This article analyzes the changes experienced by a mental health care organization in response to environmental threats and fluctuating expectations. On a general, more theoretical level, the article demonstrates how processes of environmental selection as well as organizational adaptation shape organizational forms. On a concrete, applied level, those administrative practices are articulated that can help ensure that reform efforts are successful. Administrators also must be aware of the inertial forces operating upon stable organizational forms and work to ensure that the organization remains vital and open to change.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"22 1","pages":"29-37"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02519195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21012000","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
The working alliance and consumer case management. 工作联盟和消费者案例管理。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02518753
P Solomon, J Draine, M A Delaney
{"title":"The working alliance and consumer case management.","authors":"P Solomon,&nbsp;J Draine,&nbsp;M A Delaney","doi":"10.1007/BF02518753","DOIUrl":"https://doi.org/10.1007/BF02518753","url":null,"abstract":"<p><p>The Working Alliance Inventory was used to measure the strength of the therapeutic relationship between seriously mentally disabled case management clients and their case managers in a randomized trial of consumer-provided case management services. It was found that while there was no difference in the strength of the alliance between the consumer and nonconsumer teams of case managers, there were positive relationships between alliance and some outcomes, including quality of life, symptomatology, attitudes toward medication compliance, and satisfaction with mental health treatment.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"22 2","pages":"126-34"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02518753","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21014739","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: 134
Program characteristics and readmission among older substance abuse patients: comparisons with middle-aged and younger patients. 老年药物滥用患者的方案特点和再入院:与中年和年轻患者的比较。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02518628
R H Moos, J R Mertens, P L Brennan
{"title":"Program characteristics and readmission among older substance abuse patients: comparisons with middle-aged and younger patients.","authors":"R H Moos,&nbsp;J R Mertens,&nbsp;P L Brennan","doi":"10.1007/BF02518628","DOIUrl":"https://doi.org/10.1007/BF02518628","url":null,"abstract":"<p><p>Older substance abuse patients were compared to middle-aged and younger patients before, during, and after an index episode of inpatient care in 1 of 88 substance abuse treatment programs. Associations between program characteristics and readmission rates adjusted for key differences in the types of patients in different programs varied by age group. Among older patients, more structured program policies, more flexible rules about discharge, more comprehensive assessment, and more outpatient mental health aftercare were associated with lower casemix-adjusted readmission rates. More intensive treatment was associated with higher-than-predicted readmission. By contrast, among younger patients, more family involvement in assessment and treatment, community consultation, and treatment emphasizing the development of social and work skills were associated with lower casemix-adjusted readmission rates. The findings suggest that intensive, directed treatment may be more effective for younger substance abuse patients, whereas a more supportive treatment regimen in a well-organized program and prompt outpatient aftercare may be especially helpful for older patients.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"22 4","pages":"332-45"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02518628","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21043941","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
Assertive outreach for frequent users of psychiatric hospitals: a meta-analysis. 精神病院频繁使用者的自信外展:一项元分析。
Journal of mental health administration Pub Date : 1995-01-01 DOI: 10.1007/BF02519193
G R Bond, J H McGrew, D M Fekete
{"title":"Assertive outreach for frequent users of psychiatric hospitals: a meta-analysis.","authors":"G R Bond,&nbsp;J H McGrew,&nbsp;D M Fekete","doi":"10.1007/BF02519193","DOIUrl":"https://doi.org/10.1007/BF02519193","url":null,"abstract":"<p><p>A meta-analysis was conducted on nine studies of an assertive outreach model for frequent users of psychiatric hospitals. Four studies used experimental or quasi-experimental designs and five used pre-post designs. Findings at one-year follow-up were examined for retention in community mental health services, psychiatric inpatient days, quality of life, and client level of functioning. Eighty-four percent of assertive outreach clients were still receiving mental health services after one year, compared to 54% of controls. In two thirds of the programs, the mean annual rate of inpatient days declined by 50% or more. The overall experimental effect size for quality of life was negligible, although changes over time for assertive outreach clients were more encouraging. Similarly, improvement in level of functioning was found for assertive outreach clients. The study examining experimental differences in level of functioning obtained a nonsignificant moderate effect.</p>","PeriodicalId":73827,"journal":{"name":"Journal of mental health administration","volume":"22 1","pages":"4-16"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02519193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21013468","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: 94
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