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使用多维度结果指标评估加利福尼亚州全方位服务合作项目的影响。

Evaluating the impact of California's full service partnership program using a multidimensional measure of outcomes.

作者信息

Brown Timothy Tyler, Hong Juliette S, Scheffler Richard M

机构信息

University of California, Berkeley, 50 University Hall MC7630, Berkeley, CA, 94720-7630, USA,

出版信息

Adm Policy Ment Health. 2014 May;41(3):390-400. doi: 10.1007/s10488-013-0476-6.

Abstract

This study evaluates the impact of California's full-service partnership (FSP) program using a multidimensional measure of outcomes. The FSP program is a key part of California's 2005 Mental Health Services Act. Secondary data were collected from the Consumer Perception Survey, the Client and Service Information System, and the Data Collection and Reporting System, all data systems which are maintained by the California Department of Mental Health. The analytic sample contained 39,681 observations of which 588 were FSP participants (seven repeated cross-sections from May 2005 to May 2008). We performed instrumental variables (IV) limited information maximum likelihood and IV Tobit analyses. The marginal monthly improvement in outcomes of services for FSP participants was approximately 3.5 % higher than those receiving usual care with the outcomes of the average individual in the program improving by 33.4 %. This shows that the FSP program is causally effective in improving outcomes among the seriously mentally ill.

摘要

本研究使用多维度结果指标评估了加利福尼亚州全方位服务伙伴关系(FSP)项目的影响。FSP项目是加利福尼亚州2005年《精神卫生服务法》的关键部分。二级数据来自消费者感知调查、客户与服务信息系统以及数据收集与报告系统,所有这些数据系统均由加利福尼亚州精神卫生部维护。分析样本包含39681条观测数据,其中588名是FSP项目参与者(2005年5月至2008年5月的七个重复横截面数据)。我们进行了工具变量(IV)有限信息极大似然估计和IV Tobit分析。FSP项目参与者服务结果的月度边际改善比接受常规护理的参与者高出约3.5%,项目中平均个体的结果改善了33.4%。这表明FSP项目在改善重度精神疾病患者的结果方面具有因果效应。

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