Schmidt J P, Thorarenson D, Buchberger G, Abernethy J, Zakos B
Can Ment Health. 1980 Dec;28(4):13-4, 20.
As community mental health continues to grow in credibility, it has expanded, not only into new areas of treatment (e.g., child abuse), but also into new geographical areas, such as rural Canada. However, transplantation of urban-based community mental health models into the rural community poses major problems. To illustrate such problems as well as possible solutions, this paper describes a day-care program in a non-urban area, the overall settings of the program, a description of its structure and the issues facing it, as well as some of the ways we have dealt with them. We then discuss some recent changes we made in the program and how we evaluated these, to illustrate how such a program can institute an ongoing program evaluation. Finally, some data on the outcome of the program is presented.
随着社区心理健康的可信度不断提高，它不仅扩展到了新的治疗领域（如儿童虐待），还扩展到了新的地理区域，如加拿大农村地区。然而，将基于城市的社区心理健康模式移植到农村社区会带来重大问题。为了说明这些问题以及可能的解决方案，本文描述了一个非城市地区的日托项目、该项目的整体背景、其结构描述以及所面临的问题，还有我们处理这些问题的一些方式。然后我们讨论了我们最近在该项目中所做的一些改变以及我们如何对这些改变进行评估，以说明这样一个项目如何能够开展持续的项目评估。最后，展示了该项目成果的一些数据。
