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Managing stress and burnout in clinical gerontology

Clinical Gerontologist 1983年第2期2卷 39-51页

作者： Moracco, John C. School of Education Auburn University Auburn AL 36849 United States

Stress and burnout is a prevalent feature of the helping profession. The toll that these phenomena take on the individual can be devastating. This article explains the stress reaction from an appraisal model and discusses how the clinic can initiate a stress reduction strategy. A three point intervention plan is recommended. Strategies for changing the occupational environment, individual characteristics, and coping mechanisms constitute three points in a comprehensive plan. © 1983 Taylor & Francis Group, LLC.

关键词：厌倦职业性/预防和控制老年医学老年人保健服务/组织和管理精神卫生服务/组织和管理应激心理学/预防和控制老年人人类

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Maximizing satisfaction and managing dissatisfaction in mental health and human services: A model for administrative practice

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Health Marketing Quarterly 1992年第3-4期9卷 29-36页

作者： Moore, Stephen T. School of Social Work College of Human Environmental Sciences Missouri University Columbia CO 65211 United States

The production satisfaction is central to the delivery of mental health and human service. The most critical fator in service delivery is providing quality care. However, the ways in which services are delivered impacts the perception of quality. This paper provides a model for maximizing satisfaction among client and other importance publics of mental health and human service organizations. © 1992 Taylor & Francis Group, LLC.

关键词：用户满意卫生服务使用研究/方法精神卫生服务/组织和管理精神卫生服务/标准模型理论劝导交谈卫生保健质量美国人类

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Lessons learned.

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New directions for mental health services 2000年第85期2000卷 7-15页

作者： Goetz, R.R. McFarland, B.H. Ross, K.V. Department of Psychiatry Oregon Health Sciences University United States

Mental health care reform in the public sector remains a local proposition. Oregon has thus far been able to avoid major failures and has modest successes to report. Although the road to achieving all that was envisio... 详细信息

关键词：卫生保健改革卫生计划实施/组织和管理精神卫生服务/组织和管理俄勒冈方案评价州卫生计划/组织和管理美国人类

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THE DELIVERY OF MENTAL-HEALTH-SERVICES IN COMMUNITY DISASTERS - AN OUTLINE OF RESEARCH FINDINGS

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JOURNAL OF COMMUNITY PSYCHOLOGY 1981年第3期9卷 195-203页

作者： BAISDEN, B QUARANTELLI, EL OHIO STATE UNIV DISASTER RES CTRCOLUMBUSOH 43210

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Mental health carve-outs: Effects and implications

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Medical Care Research and Review 1999年第SUPPL. 2期56.0卷 37-59页

作者： Grazier, Kyle L. Eselius, Laura L. University of Michigan Harvard University

To control the rise in expenditures and to increase access to mental health and substance abuse (MH/SA) services, a growing number of employers and states are implementing a 'carve-out.' Under this arrangement, the sponsor separates insurance benefits by disease or condition, service category, or population and contracts separately for the management of care and/or associated risks. A carve-out allows a unique set of managed care techniques to be applied to a subset of particularly costly or complex benefits. This article describes various carve-out models, discusses the potential advantages and disadvantages of a full carve-out, and summarizes recent public and private sector research regarding the strategy's effects on access and use, cost savings and shifting, and quality of care. It concludes by discussing approaches to the assessment and monitoring of the processes and outcomes associated with a MH/SA carve-out.

关键词：合同业务/经济学费用控制疾病管理雇主承担保健费用/发展趋势保健福利计划雇员/经济学卫生服务易得程度管理医疗规划/组织和管理管理医疗规划/利用 Medicaid/经济学精神卫生服务/组织和管理精神卫生服务/利用生产线管理美国人类

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Overview of Michigan prevention programming

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Prevention in Human Services 1985年第4期3卷 3-11页

作者： Tableman, Betty Michigan Department of Mental Health United States

The Michigan Department of Mental Health's prevention programming has centered around the development of community service models through pilot demonstration projects. A systems approach has resulted in the formulation of departmental guidelines and policies. Pilot demonstration projects have been directed primarily at enhancing coping skills of high risk populations. Collaborative interagency efforts have provided an additional dimension to Michigan prevention programming. © 1985 by The Haworth Press, Inc. All rights reserved.

关键词：预测精神卫生服务/组织和管理密执安试点项目预防卫生服务/组织和管理公共卫生管理

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Addressing mental health needs of infants and young children

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CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA 1999年第2期8卷 209-+页

作者： Mayes, LC Yale Univ Sch Med Yale Child Study Ctr New Haven CT 06520 USA

Work with infants and young children is an evolving subspecialty of child psychiatry. Mental health services for very young children require a multidisciplinary approach and the held has evolved simultaneously in the disciplines of child psychiatry, pediatrics, psychology, social work, neurology, early childhood education, and nursing. Special areas of expertise and clinical skills are required for work in this area and even traditional areas of clinical skills-evaluating mental and developmental competency, collaborating with other professionals, and synthesizing information for parents-have an added valence when applied to work with very young children. Understanding early brain development and the complex interactions among biology, environment, and experience that shape early development has highlighted the critical nature of psychological interventions in the first years of life and added to the knowledge required for child psychiatrists. The agenda for the next decade is to bring the multiple viewpoints together around critical areas for development of the field, including improved diagnostic nosology, a better understanding of the number of young children needing services, pathways for accessing those services, and more explicit descriptions of the important features of mental health intervention for very young children and their families.

关键词：儿童精神病学/方法发育障碍/分类发育障碍/诊断发育障碍/治疗精神障碍/分类精神障碍/诊断精神障碍/治疗精神卫生服务/组织和管理模型心理学需求估价研究美国儿童学龄前人类婴儿婴儿新生

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Families as full research partners: What's in it for us?

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JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH 1999年第3期26卷 329-344页

作者： Vander Stoep, A Williams, M Jones, R Green, L Trupin, E Univ Washington Childrens Hosp & Med Ctr Div Child & Adolescent Psychiat Seattle WA 98105 USA King Cty Federat Families Renton WA USA Puget Sound Educ Serv Dist Burien WA 98166 USA

This article describes a children's managed mental health care program that incorporates both a family participation service model and a family-initiated evaluation model. The authors begin by tracing the evolution of the family support and the participatory research movements leading to current developments in children's mental health services research. In the King County Blended Funding Project, three service systems pool funds that are spent flexibly by child and family teams. Family advocates have led efforts to design and implement the project evaluation. During this process, many tensions have arisen between meeting the demands of both scientific rigor and multiple community stakeholders. Examples are given of the issues raised by family advocates and research scientists as together they established a theory of change, identified meaningful outcomes, selected measurement tools, and implemented the evaluation protocol. Guidelines are given for how services research partnerships can be successfully built to better address community needs. This article was selected as a distinguished research paper based on a presentation by the authors at the 1998 11th annual research conference titled "A System of Care for Children's Mental Health: Expanding the Research Base." This conference is sponsored annually by the Research and Training Center for Children's Mental Health, Department of Child and Family Studies, Louis de Ea Parte Florida Mental Health Institute, University of South Florida, Tampa.

关键词：儿童保健服务/组织和管理儿童福利社区网络用户参与/方法家庭/心理学管理医疗规划/组织和管理精神卫生服务/组织和管理模型组织管理组织改革以病人为中心医护/组织和管理方案评价/方法华盛顿儿童人类

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Reliability of medicaid claims files for use in psychiatric diagnoses and service delivery

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ADMINISTRATION AND POLICY IN MENTAL HEALTH 2000年第3期27卷 129-139页

作者： Walkup, JT Boyer, CA Kellermann, SL Rutgers State Univ Inst Hlth Hlth Care Policy & Aging Res New Brunswick NJ 08901 USA Rutgers State Univ Grad Sch Appl & Profess Psychol New Brunswick NJ 08901 USA New York State Psychiat Inst New York NY 10032 USA

To investigate the reliability of Medicaid claims data for use in research, clinical decision-making, and policy, medical records were abstracted of 105 inpatient stays on the psychiatric service of a large general hospital. Primary and secondary diagnoses and outpatient specialty mental health services after hospitalization were compared between Medicaid claims data and medical record information. Primary and secondary diagnoses were reliable, but claims data failed to capture several types of outpatient services. This suggests strategies to use claims files more appropriately.

关键词：保险索赔审核 Medicaid/组织和管理医学审核精神障碍/诊断精神卫生服务/组织和管理美国人类

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Pastoral care planning: a process-oriented approach for mental health ministry.

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Journal of pastoral care 1991年第3期45卷 268-278页

作者： Weiss, F.S. Jackson Memorial Hospital Miami 33136. FL United States

Proposes a systematic and systemic pastoral diagnosis model based on the formulations of James W. Fowler, Stephen S. Ivy, and Wayne E. Oates. Illustrates the application of the model via a care-planning case study.

关键词：精神障碍/诊断精神障碍/心理学精神卫生服务/组织和管理模型护理学模型心理学牧师心理治疗/组织和管理病人医疗护理计划/方法病人医疗小组精神病科医院宗教和心理学美国人类

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