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文图拉规划模型:一项心理健康改革提案。

The Ventura Planning Model: a proposal for mental health reform.

作者信息

Jordan D D, Hernandez M

机构信息

Ventura County Mental Health Services, CA 93003.

出版信息

J Ment Health Adm. 1990 Spring;17(1):26-47. doi: 10.1007/BF02518578.

DOI:10.1007/BF02518578
PMID:10106570
Abstract

The Ventura Planning Model is a proposal for public mental health reform. It addresses the decline in mental health funding. It offers a rationale for increased support--and funding--for public mental health services. The Planning Model grew out of the experience of implementing and operating the Ventura Children's Demonstration Project. The model has five characteristics, or planning steps: 1) multi-problem target population; 2) systems goals; 3) interagency coalitions; 4) services and standards; and 5) systems monitoring and evaluation. The Ventura Children's Demonstration Project implemented these planning steps, with an infusion of $1.54 million in funds from the state legislature. The project offset at least 66 percent of its cost by reducing other public agency costs and improved a variety of client-oriented outcomes. The success of the project in offsetting its costs has led the legislature to provide additional funds for three more California counties to implement the model for children and youth, and $4 million a year for four years for Ventura County to test the model for adults and seniors. Emphasizing cost offsets in addition to client-oriented outcomes provides a practical rationale for proposing increases in public mental health funds. This rationale also implies substantial changes in the operations of many public mental health agencies.

摘要

文图拉规划模式是一项关于公共心理健康改革的提议。它应对了心理健康资金的减少。它为增加对公共心理健康服务的支持及资金提供了一个基本原理。该规划模式源于实施和运营文图拉儿童示范项目的经验。该模式有五个特点,或规划步骤:1)多问题目标人群;2)系统目标;3)跨部门联盟;4)服务与标准;5)系统监测与评估。文图拉儿童示范项目实施了这些规划步骤,从州立法机构获得了154万美元的资金注入。该项目通过减少其他公共机构的成本抵消了至少66%的费用,并改善了各种以客户为导向的成果。该项目在抵消成本方面的成功促使立法机构为另外三个加利福尼亚县提供额外资金,以实施针对儿童和青少年的该模式,并在四年内每年为文图拉县提供400万美元,用于测试针对成年人和老年人的该模式。除了以客户为导向的成果外,强调成本抵消为提议增加公共心理健康资金提供了一个实际的基本原理。这个基本原理还意味着许多公共心理健康机构的运营将发生重大变化。

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A collaborative system of care for youth with severe emotional disturbances: an evaluation of client characteristics and services.针对有严重情绪障碍青少年的协作式照护系统:对服务对象特征与服务的评估

本文引用的文献

1
The twenty years Kaiser-Permanente experience with psychotherapy and medical utilization: implications for national health policy and national health insurance.
Health Policy Q. 1981 Summer;1(2):159-75.
J Ment Health Adm. 1994 Spring;21(2):170-84. doi: 10.1007/BF02521324.
4
Early implementation of legislative children's mental health reform: the Minnesota/Hennepin County Experience.儿童心理健康立法改革的早期实施:明尼苏达州/亨内平县的经验
J Ment Health Adm. 1992 Summer;19(2):195-206. doi: 10.1007/BF02521319.
5
Self-regulating service delivery systems: a model for children and youth at risk.自我调节服务提供系统:针对处于风险中的儿童和青少年的一种模式。
J Behav Health Serv Res. 1999 Feb;26(1):64-79. doi: 10.1007/BF02287795.
6
Managing what you measure: creating outcome-driven systems of care for youth with serious emotional disturbances.管理你所衡量的内容:为患有严重情绪障碍的青少年创建以结果为导向的护理系统。
J Behav Health Serv Res. 1998 May;25(2):177-93. doi: 10.1007/BF02287479.
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J Behav Health Serv Res. 1998 May;25(2):136-50. doi: 10.1007/BF02287476.
8
Use of the public mental health system by children in foster care: client characteristics and service use patterns.寄养儿童对公共心理健康系统的使用:服务对象特征及服务使用模式
J Ment Health Adm. 1996 Fall;23(4):389-405. doi: 10.1007/BF02521024.
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The provision of services for rural youth with serious emotional and behavioral problems: Virginia's Comprehensive Services Act.为有严重情绪和行为问题的农村青年提供服务:弗吉尼亚州《综合服务法》
Community Ment Health J. 1996 Oct;32(5):481-95. doi: 10.1007/BF02251047.