Kutash Krista, Greenbaum Paul E, Wang Wei, Boothroyd Roger A, Friedman Robert M
Department of Child and Family Studies, MHC 2335, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL, USA.
J Behav Health Serv Res. 2011 Jul;38(3):342-57. doi: 10.1007/s11414-011-9242-2.
The results of a survey to measure the implementation of the systems of care (SOC) approach in a nationally representative sample of counties are presented. The results from 910 informants within 225 counties reveal a moderate level of implementation of SOC factors, with the level of poverty and population size influencing implementation. Furthermore, mental health informants generally tended to rate the implementation of systems of care greater than administrators associated with the school system, other family serving agency personnel or family members. Family members and school personnel tended to rate the implementation lowest, while staff from the other child serving agencies tended to rate the implementation closer to mental health administrators. A quarter of the counties (26%) surveyed rated themselves as having adequate levels of implementation on 11 or more of the 14 factors, while 75% rated themselves as having adequate levels of implementation on six or more of the 14 factors measured. Implications for federal policies regarding systems of care implementation are discussed.
本文展示了一项针对全国具有代表性的县样本进行的护理系统（SOC）方法实施情况调查的结果。来自225个县的910名受访者的结果显示，SOC因素的实施水平适中，贫困程度和人口规模会影响实施情况。此外，心理健康领域的受访者对护理系统实施情况的评分普遍高于与学校系统相关的管理人员、其他家庭服务机构人员或家庭成员。家庭成员和学校人员对实施情况的评分往往最低，而其他儿童服务机构的工作人员对实施情况的评分则更接近心理健康管理人员。接受调查的四分之一的县（26%）认为自己在14项因素中的11项或更多因素上实施水平足够，而75%的县认为自己在14项测量因素中的6项或更多因素上实施水平足够。文中还讨论了联邦政策对护理系统实施的影响。
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