Okin R L, Dolnick J
Hosp Community Psychiatry. 1985 Nov;36(11):1201-5. doi: 10.1176/ps.36.11.1201.
As commissioner of the Massachusetts Department of Mental Health, the senior author in 1975 initiated a reorganization of the department designed to provide greater continuity of care for deinstitutionalized patients by integrating management of hospital and community services at a local level. The new system continued the practice of dividing hospitals into units corresponding to geographical catchment areas (unitization), but it abolished the hospital superintendent's position and greatly broadened the role of the area directors of community services to include clinical administration of the hospital unit serving patients in catchment areas. The authors believe the new system played a role in reorienting the department's services toward community care of the seriously disabled patient and led to a more effective distribution of departmental resources.
作为马萨诸塞州精神健康部专员，资深作者于1975年启动了该部门的重组，旨在通过在地方层面整合医院和社区服务管理，为非机构化患者提供更具连续性的护理。新系统延续了将医院划分为对应地理集水区的单元的做法（单元化），但废除了医院院长的职位，并大大拓宽了社区服务区域主任的角色，将为集水区患者提供服务的医院单元的临床管理纳入其中。作者认为，新系统在使该部门的服务重新定位为对严重残疾患者的社区护理方面发挥了作用，并导致了部门资源更有效的分配。
