Minkoff Kenneth, Cline Christie A
Department of Psychiatry, Harvard Medical School, Cambridge Hospital, 1493 Cambridge Street, Cambridge, MA 02138, USA.
Psychiatr Clin North Am. 2004 Dec;27(4):727-43. doi: 10.1016/j.psc.2004.07.003.
This article has described the CCISC model and the process of implementation of systemic implementation of co-occurring disorder services enhancements within the context of existing resources. Four projects were described as illustrations of current implementation activities. Clearly, there is need for improved services for these individuals, and increasing recognition of the need for systemic change models that are effective and efficient. The CCISC model has been recognized by SAMHSA as a consensus best practice for system design, and initial efforts at implementation appear to be promising. The existing toolkit may permit a more formal process of data-driven evaluation of system, program, clinician, and client outcomes, to better measure the effectiveness of this approach. Some projects have begun such formal evaluation processes, but more work is needed, not only with individual projects, but also to develop opportunities for multi-system evaluation, as more projects come on line.
本文描述了CCISC模型以及在现有资源背景下全面实施并发障碍服务增强措施的过程。介绍了四个项目作为当前实施活动的示例。显然，需要为这些个体提供更好的服务，并且越来越认识到需要有效且高效的系统性变革模型。CCISC模型已被药物滥用和精神健康服务管理局（SAMHSA）认可为系统设计的共识最佳实践，初步实施工作似乎很有前景。现有的工具包可能允许进行更正式的数据驱动的系统、项目、临床医生和客户结果评估过程，以更好地衡量这种方法的有效性。一些项目已经开始了这种正式评估过程，但还需要做更多工作，不仅要针对单个项目，而且随着更多项目上线，还要为多系统评估创造机会。
