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A regional evaluation of citizen mental health boards

Journal of Community Psychology 1980年第4期8卷 291-301页

作者： Bartlet, Donald P. Grantham, Robert J. State University of New York at Buffalo United States

This is report of an evaluation of citizen board functioning in an eight‐county region. Included in the study were seven county mental health boards, four state hospital boards, one community mental health center and four metropolitan catchment area boards. Board effectiveness criteria (knowledge of mental health legislation, policy‐making effectiveness, knowledge of the community and agency procedures, organizational effectiveness) are related to demographic and ideological profiles for each board. Board effectiveness was measured by the Self‐Diagnosis Guidelines (Institute for Voluntary Organizations, 1977). Board ideology was assessed with the Community Mental Health Ideology Scale (Baker & Schulberg, 1969). Results indicated that: (1) boards were generally not representative of their communities;(2) most boards saw themselves as only marginally effective;(3) the low self‐ratings of boards were due to deficiencies in crucial areas of board responsibility;(4) there were significant differences in effectiveness among boards;and (5) board members reported less support for community mental health philosphy than some professional groups. Implications of the findigs for mental health policy and legislation were drawn. Copyright © 1980 Wiley Periodicals, Inc., A Wiley Company

关键词：用户参与评价研究管理委员会/标准精神卫生服务/组织和管理纽约自我评价(心理学) 人类

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Client and provider perspectives regarding the stigma of and nonstigmatizing interventions for depression

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ARCHIVES OF PSYCHIATRIC NURSING 2002年第5期16卷 201-207页

作者： Raingruber, B Calif State Univ Sacramento Sacramento CA 95819 USA Univ Calif Davis Lodi CA USA

Fifty clients and providers narrated their experiences with the stigma associated with seeking care for depression and/or suicidal ideation. Participants also shared their perspectives on ways to minimize stigma. The narrative interviews were audiotaped, transcribed into text, and then interpreted using an interpretive phenomenological method. Open communication;community awareness, education, and prevention;as well as community-centered and in-home services were identified as ways to minimize stigma and enhance the care available to depressed or suicidal individuals. The importance of modifying health care providers' attitudes and changing the climate of inpatient services were also highlighted as priorities by the participants. Copyright 2002, Elsevier Science (USA). All rights reserved.

关键词：医务工作者的态度加利福尼亚信息交流抑郁/心理学抑郁症/心理学集中研讨小组精神卫生服务/组织和管理需求估价护理方法学研究病人接受卫生保健的程度/心理学偏见质量保证卫生保健/组织和管理问卷调查刻板自杀未遂/心理学人类

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Estimating the cost impact of three dual diagnosis treatment programs

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EVALUATION REVIEW 1996年第2期20卷 160-180页

作者： Jerrell, JM Hu, TW UNIV S CAROLINA SCH MEDCOLUMBIASC 29208 UNIV CALIF BERKELEY SCH PUBL HLTHBERKELEYCA 94720

Specialized intervention programs for people with concurrent severe mental illness and substance abuse reduce the total costs of care. Compared to baseline, cost savings of over 40% were achieved by 18 months primarily due to significant reductions in the use of acute and subacute mental health services and despite an increase in outpatient mental health services. There also was an observable impact on cost reductions in medical and criminal justice services without an increase in family costs over the same time period.

关键词：嗜酒者互戒协会病例管理认知疗法费用节省费用效益分析直接服务费用/统计学和数值数据精神障碍/并发症精神障碍/治疗精神卫生服务/组织和管理方案评价社会支持物质相关性障碍/并发症物质相关性障碍/治疗青少年成年人女(雌)性人类男(雄)性

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Adapting to managed care by becoming a learning organization

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ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 1999年第4期26卷 239-252页

作者： O'Sullivan, MJ Univ Massachusetts Program Hlth Serv Adm Lowell MA USA

In the tumultuous and chaotic environment of managed health care, hospital-based mental health providers need to change in fundamental ways. The traditional view of mental health organizations is a professional-bureaucratic one where actions and outcomes of planning are thought to be highly predictable. The author proposes an alternative paradigm for viewing mental health provider organizations, one based on learning theory, which accepts that the future is unknowable because of its complexity and the probabilistic nature of the world. Within this perspective, mental health care providers need to become "learning organizations" to successfully adapt to the new and evolving conditions.

关键词：医院社区管理医疗规划/发展趋势精神卫生服务/组织和管理模型组织管理模型心理学组织文化组织改革精神病科医院/组织和管理美国人类

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The changing face of the leader

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ADMINISTRATION AND POLICY IN MENTAL HEALTH 2000年第5期27卷 269-286页

作者： Culbertson, RA Tulane Univ Sch Publ Hlth & Trop Med Dept Hlth Syst Management New Orleans LA 70112 USA Tulane Univ Sch Med New Orleans LA 70112 USA

Leadership theory has identified leadership as a process or skill of transformation of organizations and society. Managerial theorists have seen leadership as a role within management, and have argued from a distinctly organizational perspective. During the last decade, mental health executives have gravitated from the leadership is policy emphasis to one of management accommodation to major changes in the health environment. The most noteworthy of these changes has been the dominance of private markets in health and the introduction throughout the mental health services sector of management techniques of managed care. Leadership is once again ascendant as a result of the failure of several of these initiatives, notably prior authorization of care, and a renewed public policy emphasis on needs of persons who are mentally ill. Major opportunities confronting the contemporary leader/manager include advocacy, diversity, and information management.

关键词：卫生保健部门卫生设施负责人员卫生服务研究领导精神卫生服务/组织和管理公共卫生角色美国人类

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Advocacy for prevention: The role of the mental health association in Michigan

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Prevention in Human Services 1989年第2期6卷 53-58页

作者： Leeson, Lizabeth L. Mental Health Assocation MI United States

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关键词：精神卫生精神卫生服务/组织和管理密执安病人辩护一级预防/组织和管理志愿卫生机构/组织和管理

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Quantitative results.

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New directions for mental health services 2000年第85期2000卷 73-81页

作者： Lynch, F.L. Center for Health Research Kaiser Permanente Oregon Portland United States

Detailed analysis of information obtained is still under way, but initial trends appear to show stable enrollment, maintenance of minimum service levels, and lower hospital utilization.

关键词：卫生服务/利用卫生服务易得程度 Medicaid/组织和管理精神卫生服务/组织和管理俄勒冈卫生保健质量州卫生计划/组织和管理美国

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The role of the prevention advisory committee in Michigan

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Prevention in Human Services 1985年第4期3卷 13-19页

作者： Smith, Floyd Hess, Robert AuSable Valley Community Mental Health United States Riverwood Community Mental Health Center United States

The role of a prevention advisory committee in maintaining Michigan's prevention effort is examined. Accomplishments in the areas of program development, communication, policy formulation, and advocacy are described and structural aspects contributing to the success of the committee are discussed. © 1985 by The Haworth Press, Inc. All rights reserved.

关键词：精神卫生服务/组织和管理密执安预防卫生服务/组织和管理专家委员会公共卫生管理角色人类

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Psychiatric emergency: concepts and problems of organizational structure

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Sociology of Health & Illness 1982年第1期4卷 75-85页

作者： Clark, Ian University Department of Psychiatry Ninewells Hospital Medical School Dundee United Kingdom

Abstract The concepts and organizing principles underlying facilities for assessing psychiatric emergencies are discussed. It is argued that the analogy with medical/surgical emergencies is, in many cases, inappropriate. Where socially unacceptable behaviour is involved in generating a psychiatric referral, doctors working in hospital clinics are in a poor position to make informed assessments. Copyright © 1982, Wiley Blackwell. All rights reserved

关键词：急诊室精神病/组织和管理大不列颠精神卫生服务/组织和管理转诊和会诊/利用苏格兰公费医疗

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Effects of state organizational structure and forensic examiner training on pretrial competence assessments

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JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH 1999年第2期26卷 140-150页

作者： Edens, JF Poythress, NG Nicholson, RA Otto, RK Sam Houston State Univ Dept Psychol Huntsville TX 77341 USA Univ S Florida Dept Mental Hlth Law & Policy Tampa FL USA Univ Tulsa Dept Psychol Tulsa OK 74104 USA

States differ widely in their delivery of pretrial forensic evaluation services, in terms of organizational structure and training requirements of forensic examiners. It was hypothesized that defendants adjudicated incompetent to proceed in stares using community-based, private-practitioner systems would show less impairment on a competence assessment measure, the MacArthur Competence Assessment Tool-Criminal Adjudication (MacCAT-CA), than defendants adjudicated incompetent in states using traditional, inpatient systems. It also was hypothesized that mean MacCAT-CA scores for incompetent defendants from states requiring forensic training/certification would be lower than for defendants from states lacking such requirements. Results indicated significant differences across the four types of service delivery systems examined. However;planned comparisons revealed no differences between a stare using a traditional, inpatient model and a stare employing a community-based, private-practitioner model. Analyses examining the effects of mandatory forensic training failed to support the hypothesis that training requirements result in the adoption of higher thresholds for determining incompetence.

关键词：方差分析卫生保健提供/组织和管理卫生保健提供/统计学和数值数据司法精神病学/教育司法精神病学/组织和管理司法精神病学/统计学和数值数据精神能力精神卫生服务/组织和管理精神卫生服务/统计学和数值数据私营部门专业业务/统计学和数值数据心理测定学/统计学和数值数据公营部门参考值州政府美国成年人女(雌)性人类男(雄)性中年人

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