Persky T, Taylor A, Simson S
Gerontol Geriatr Educ. 1989;9(3):79-88. doi: 10.1300/J021v09n03_08.
There is a striking disparity between the estimated need for mental health care by 18-25% of the nation's elderly, and the minimal utilization of private and publicly funded services by this age cohort. Recognition that the elderly are not well served by existing systems led a trilogy of major Philadelphia aging, mental health, and health organizations to form a partnership for the purpose of improving, expanding, and integrating service delivery for a segment of the population which has been overlooked. A training model was devised to overcome the organizational isolation of agencies serving mutual clients with interrelated problems. For training purposes, the city was divided into five sections. Consultants were recruited to organize staff development groups from the health, mental health and senior centers in the geographic areas to which they were assigned. This paper describes the interagency training experience, the receptivity of the participants, and discusses the issues which must be addressed to improve coordination of elderly services by the aging, health, and mental health systems.
美国18%至25%的老年人对心理健康护理的估计需求与该年龄组对私人和公共资助服务的极低利用率之间存在显著差距。认识到现有系统未能很好地服务老年人，费城的三大主要老年、心理健康和卫生组织组成了一个伙伴关系，旨在改善、扩大和整合为这一被忽视的人群提供的服务。设计了一种培训模式，以克服为有相互关联问题的共同客户提供服务的机构之间的组织孤立。为了培训目的，该市被划分为五个区域。招募了顾问，以便在他们被分配的地理区域内，组织来自卫生、心理健康和老年中心的员工发展小组。本文描述了机构间培训经验、参与者的接受程度，并讨论了老年、卫生和心理健康系统为改善老年人服务协调必须解决的问题。
