Department of Child and Family Studies, University of South Florida, Tampa, FL 33612, USA.
Am J Community Psychol. 2012 Jun;49(3-4):526-37. doi: 10.1007/s10464-012-9491-0.
Communities that undertake systems change in accordance with the system of care philosophy commit to creating new systems entities for children and adolescents with serious emotional disturbance. These new entities are values-based, voluntary, and cross-agency alliances that include formal child-serving entities, youth, and families. Describing the scope and intent of one such implementation of systems of care, a mental health administrator commented, "If we're going to change things, it has to be systemic" (B. Baxter, personal communication, December 2, 2005). This paper explores the concept of "systemic" in the context of systems of care. Systems theory is used to understand strategies of purposeful systems change undertaken by stakeholders in established system of care communities. The paper presents a conceptual model of systems change for systems of care that is grounded in data from a national study of system of care implementation (Research and Training Center for Children's Mental Health in Case Studies of system implementation: Holistic approaches to studying community-based systems of care: Study 2, University of South Florida, Louis de la Parte Florida Mental Health Institute, Research and Training Center for Children's Mental Health, Tampa, FL, 2004). The model is based on Soft Systems Methodology, an application of systems theory developed to facilitate practical action around systems change in human systems (Checkland in Systems thinking, systems practice, Wiley, Chichester, 1999). The implications of these findings to real world actions associated with systems change in systems of care are discussed.
根据关怀系统哲学进行系统变革的社区致力于为有严重情绪困扰的儿童和青少年创建新的系统实体。这些新的实体是基于价值观的、自愿的、跨机构联盟，包括正式的儿童服务实体、青年和家庭。一位心理健康管理人员在描述其中一个关怀系统实施的范围和意图时评论说：“如果我们要改变事情，就必须进行系统性变革”(B. Baxter，个人交流，2005 年 12 月 2 日)。本文探讨了关怀系统中“系统性”的概念。系统理论用于理解既定关怀系统社区中的利益相关者为进行有目的的系统变革而采取的策略。本文提出了关怀系统的系统变革概念模型，该模型基于全国关怀系统实施研究的数据(佛罗里达州南佛罗里达大学儿童心理健康研究和培训中心，路易斯·德拉·帕尔特佛罗里达心理健康研究所，关怀系统实施的案例研究：基于社区的关怀系统的整体方法研究 2，坦帕，FL，2004)。该模型基于软系统方法论，这是一种应用系统理论的方法，旨在促进人类系统中系统变革的实际行动(Checkland 在系统思考、系统实践、Wiley、奇切斯特，1999)。讨论了这些发现对关怀系统中与系统变革相关的现实世界行动的影响。
