Dausey David J, Pincus Harold Alan, Herrell James M, Rickards Lawrence
RAND Health, Pittsburgh, Pennsylvania 15213, USA.
Psychiatr Serv. 2007 Jul;58(7):903-5. doi: 10.1176/ps.2007.58.7.904.
This column discusses the experiences of the original cohort of seven states participating in the first two years of a national demonstration project known as the Co-occurring State Incentive Grant (COSIG) initiative. COSIG was designed to help state mental health and substance abuse authorities develop innovative strategies to better integrate or coordinate services for persons with co-occurring mental and substance use disorders. Powerful factors of early project success included careful planning, which was based on experience with anticipating and planning around bureaucratic barriers, and gaining early consensus from a few key stakeholders. The column describes the implementation successes and challenges of these states and the lessons learned from these experiences so that states in the planning phases of similar projects or other infrastructure improvement projects may benefit.
本专栏讨论了参与一项名为“共病状态激励拨款（COSIG）计划”的全国示范项目头两年的最初七个州的经验。COSIG旨在帮助各州的心理健康和药物滥用管理部门制定创新策略，以更好地整合或协调为同时患有精神疾病和药物使用障碍的人群提供的服务。项目早期成功的有力因素包括基于应对官僚障碍的经验进行的精心规划，以及从一些关键利益相关者那里尽早达成共识。本专栏描述了这些州的实施成功经验和挑战，以及从这些经验中学到的教训，以便处于类似项目或其他基础设施改善项目规划阶段的州能够从中受益。
