Hodges Sharon, Ferreira Kathleen, Israel Nathaniel, Mazza Jessica
Department of Child and Family Studies, Louis de la Parte Florida Mental Health Institute, College of Behavioral and Community Sciences, University of South Florida, 13301 Bruce B. Downs Blvd., MHC 2439, Tampa, FL 33612, USA.
Eval Program Plann. 2010 Feb;33(1):4-10. doi: 10.1016/j.evalprogplan.2007.11.002. Epub 2009 Jun 9.
For more than 20 years, the system of care philosophy has comprised a central strategy of service reform in children's mental health at the federal, state, tribal, and local levels. System of care terminology has become widely used in many different service sectors but often without a shared understanding of what a system of care is. This manuscript, the feature article for this special issue of Evaluation and Program Planning, briefly traces the history of the system of care movement, discusses the more widely used definitions in the field of children's mental health, and offers an expanded version of the definition that takes into account the complex nature of systems of care. This manuscript was the product of a process used by the Case Studies of System Implementation research team to identify established system of care communities for inclusion in the research study. The purpose of this manuscript is to describe the process the research team engaged in while developing the revised definition and to open a public dialogue about how to characterize the essential properties of a system of care.
二十多年来，照护体系理念一直是联邦、州、部落和地方各级儿童心理健康服务改革的核心策略。照护体系这一术语已在许多不同服务部门广泛使用，但人们对什么是照护体系往往缺乏共同的理解。本手稿作为《评估与项目规划》本期特刊的专题文章，简要追溯了照护体系运动的历史，讨论了儿童心理健康领域中使用较为广泛的定义，并给出了一个考虑到照护体系复杂性的扩展定义版本。本手稿是系统实施案例研究团队为确定纳入该研究的既有照护体系社区而采用的一个过程的产物。本手稿的目的是描述研究团队在制定修订定义时所采用的过程，并开启一场关于如何描述照护体系基本特征的公开对话。
