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个性化社区支持服务的障碍:当前一些资金和概念模型的影响

Barriers to individualized community support services: the impact of some current funding and conceptual models.

作者信息

Bertsch E F

机构信息

Long Island Regional Office, New York State Office of Mental Health, Brentwood 11717.

出版信息

Community Ment Health J. 1991 Oct;27(5):337-45. doi: 10.1007/BF00752384.

DOI:10.1007/BF00752384
PMID:1934994
Abstract

Methods now used to fund and monitor community support services for long term mentally ill persons work at cross purposes to the goals they are to promote. Commonly, community supports are offered through a limited number of programs selected by systems managers. Often these programs have a primary goal of providing treatment or helping consumers achieve some higher purpose with only a secondary focus on the consumer obtaining wanted goods and services needed to develop and sustain an individualized community support network. Consumer directed vouchers offer a preferred alternative to these approaches.

摘要

目前用于为长期精神病患者提供社区支持服务的资金筹集和监督方法,与它们旨在促进的目标背道而驰。通常,社区支持是通过系统管理人员选择的有限数量的项目来提供的。这些项目的主要目标往往是提供治疗或帮助消费者实现某种更高的目标,而对消费者获得建立和维持个性化社区支持网络所需的所需商品和服务只给予次要关注。消费者主导的代金券为这些方法提供了一个更好的选择。

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本文引用的文献

1
Historical origins of deinstitutionalization.去机构化的历史起源。
New Dir Ment Health Serv. 1983 Mar(17):15-29. doi: 10.1002/yd.23319831704.
2
The homeless mentally ill and community-based care: changing a mindset.
Community Ment Health J. 1990 Oct;26(5):435-47. doi: 10.1007/BF00761070.