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儿童精神卫生保健系统中的家庭组织:维持财务可持续性的挑战。

Family Organizations in Children's Mental Health Systems of Care: the Challenge of Maintaining Financial Sustainability.

机构信息

Abt Associates, 10 Fawcett Street, Suite 5, Cambridge, MA, 02138-1168, USA.

DMA Health Strategies, 9 Meriam Street, Suite 4, Lexington, MA, 02420, USA.

出版信息

J Behav Health Serv Res. 2021 Jan;48(1):15-35. doi: 10.1007/s11414-020-09711-7.

DOI:10.1007/s11414-020-09711-7
PMID:32449097
Abstract

Family-run organizations are an important source of support for families of children with serious emotional disturbance, yet little work has explored how these organizations sustain their work. The National Evaluation Team (NET) for the Substance Abuse and Mental Health Services Administration's Children's Mental Health Initiative grant program interviewed 20 family organizations in Grant Year 2 and 22 organizations in Year 4 to assess their main funding sources, the adequacy of this funding to support the organization, and changes in their funding and financial sustainability over time. Family organizations were supported mainly by mental health authority and other state agency funding and were in early stages of accessing Medicaid funding for peer services. However, many did not have sufficient or sustainable funding to maintain their functions by the grant's end. This work discusses factors that may relate to sustainability and the development of more sustainable funding for these important organizations.

摘要

家族经营的组织是为有严重情绪障碍的儿童的家庭提供支持的重要来源,但很少有研究探讨这些组织如何维持其工作。国家物质滥用和心理健康服务管理局儿童心理健康倡议资助计划的国家评估小组在资助年 2 年采访了 20 个家庭组织,在资助年 4 年采访了 22 个组织,以评估它们的主要资金来源、这些资金支持组织的充足程度,以及它们的资金和财务可持续性随时间的变化。家庭组织主要得到心理健康管理局和其他州机构的资金支持,并处于利用医疗补助计划为同行服务提供资金的早期阶段。然而,许多组织没有足够或可持续的资金来维持其功能,直到资助结束。这项工作讨论了可能与可持续性相关的因素,以及为这些重要组织发展更可持续的资金。

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J Behav Health Serv Res. 2021 Jan;48(1):15-35. doi: 10.1007/s11414-020-09711-7.
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