Watkins Katherine E, Burnam M Audrey, Okeke Edward N, Setodji Claude Messan
Rand Health Q. 2013 Feb 28;2(4):1. eCollection 2013 Winter.
In 2004, California voters passed the Mental Health Services Act, which was intended to transform California's community mental health system from a crisis-driven system to one that included a focus on prevention and wellness. The vision was that prevention and early intervention (PEI) services comprised the first step in a continuum of services designed to identify early symptoms and prevent mental illness from becoming severe and disabling. Twenty percent of the act's funding was dedicated to PEI services. The act identified seven negative outcomes that PEI programs were intended to reduce: suicide, mental health-related incarcerations, school failure, unemployment, prolonged suffering, homelessness, and removal of children from the home. The Mental Health Services Oversight and Accountability Commission (MHSOAC) coordinated with the California Mental Health Services Authority (CalMHSA), an independent administrative and fiscal intergovernmental agency, to seek development of a statewide framework for evaluating and monitoring the short- and long-term impact of PEI funding on the population. CalMHSA selected the RAND Corporation to develop a framework for the statewide evaluation. This article describes the approach, the data sources, and the frameworks developed: an overall approach framework and outcome-specific frameworks.
2004年，加利福尼亚州选民通过了《精神卫生服务法案》，该法案旨在将加利福尼亚州的社区精神卫生系统从一个由危机驱动的系统转变为一个注重预防和健康的系统。其愿景是，预防和早期干预（PEI）服务构成了一系列服务的第一步，这些服务旨在识别早期症状并防止精神疾病变得严重和致残。该法案20%的资金专门用于PEI服务。该法案确定了PEI项目旨在减少的七个负面结果：自杀、与精神健康相关的监禁、学业失败、失业、长期痛苦、无家可归以及将儿童从家中带走。精神卫生服务监督与问责委员会（MHSOAC）与加利福尼亚州精神卫生服务管理局（CalMHSA）（一个独立的行政和财政政府间机构）进行协调，以寻求制定一个全州范围的框架，用于评估和监测PEI资金对民众的短期和长期影响。CalMHSA选择了兰德公司来制定全州范围评估的框架。本文描述了所采用的方法、数据来源以及所制定的框架：一个总体方法框架和针对具体结果的框架。
