Wald Holly P, Zubritsky Cynthia D, Jaquette Nancy
HPW Associates, LLC, Pittsburgh, PA, USA,
Community Ment Health J. 2014 Apr;50(3):275-80. doi: 10.1007/s10597-013-9639-x. Epub 2013 Aug 20.
The Comprehensive Services for Children and Their Families or System of Care (SOC) is the largest mental health project ever conducted by the US federal government. These programs are based on a value-driven framework that includes: child/youth centered and family driven practice, community-based practice, and culturally competent practice (Stroul and Friedman in A system of care for children and youth with severe emotional disturbances, Georgetown University Child Development Center, CASSP Technical Assistance Center, Washington, DC, 1986). The aim of this study is to determine the extent of the adoption of SOC values by families, system partners, providers and community organizations in a countywide SOC. Using a retrospective design, data was collected through a system-wide survey and focus groups, which asked respondents to rate the presence of SOC core values prior to and four years following its creation. Results suggest that system partners, provider staff, and families are aware of the changes that have occurred within the system as a result of the SOC.
儿童及其家庭综合服务或照护系统（SOC）是美国联邦政府开展的规模最大的心理健康项目。这些项目基于一个价值驱动的框架，该框架包括：以儿童/青少年为中心和以家庭为驱动的实践、基于社区的实践以及具备文化能力的实践（斯特劳尔和弗里德曼，《为有严重情绪障碍的儿童和青少年提供的照护系统》，乔治敦大学儿童发展中心，CASSP技术援助中心，华盛顿特区，1986年）。本研究的目的是确定在一个全县范围的照护系统中，家庭、系统合作伙伴、服务提供者和社区组织对照护系统价值观的采纳程度。采用回顾性设计，通过全系统调查和焦点小组收集数据，要求受访者对照护系统创建之前及其创建四年后的核心价值观的存在情况进行评分。结果表明，系统合作伙伴、服务提供者工作人员和家庭都意识到了照护系统在系统内部所带来的变化。
