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为慢性精神病患者提供服务的社区支持项目个案管理员的描述性分析。

A descriptive analysis of community support program case managers serving the chronically mentally ill.

作者信息

Goldstrom I D, Manderscheid R W

出版信息

Community Ment Health J. 1983 Spring;19(1):17-26. doi: 10.1007/BF00778676.

DOI:10.1007/BF00778676
PMID:6571482
Abstract

This article presents a description of case managers who serve community-based chronically mentally ill (CMI) persons through the Community Support Program (CSP). Information is presented on case managers' demographic characteristics, education, job training, job history, current job activities, and locus of employment. Data were generated through the Case Manager Background Questionnaire, a 23-item self-administered instrument developed in conjunction with the CSP, a pilot Federal-State collaboration project designed to explore strategies for improving the delivery of community-based mental health and related services to the CMI. Results of the study suggest that a typical CSP case manager is white, female and in the mid-thirties. Case managers are a highly educated group; nearly one-half have graduate degrees and about two-thirds have participated in an in-service or continuing education program. Currently, two out of three CSP case managers are employed at Community Mental Health Centers and about one-third of their time is spent in direct service provision. While CSP case managers have been working at their present location for about one and one-half years, they have been in the community-based mental health system for about four years, and with the mentally disabled an average of seven years. A critical issue emerging from this analysis is the need for future research on the relationships among job training, education, job functions, and service delivery.

摘要

本文介绍了通过社区支持项目(CSP)为社区慢性精神病患者(CMI)提供服务的个案管理员。文中呈现了个案管理员的人口统计学特征、教育程度、工作培训、工作经历、当前工作活动以及工作地点等信息。数据通过个案管理员背景调查问卷收集而来,这是一份与CSP联合开发的包含23个项目的自填式工具,CSP是一个联邦 - 州合作的试点项目,旨在探索改善为CMI提供社区心理健康及相关服务的策略。研究结果表明,典型的CSP个案管理员是白人、女性,年龄在三十五六岁。个案管理员是一个受教育程度较高的群体;近一半拥有研究生学位,约三分之二参加过在职或继续教育项目。目前,三分之二的CSP个案管理员受雇于社区心理健康中心,他们大约三分之一的时间用于直接提供服务。虽然CSP个案管理员在目前的岗位工作了约一年半,但他们在社区心理健康系统工作了约四年,与智障人士打交道平均达七年。该分析中出现的一个关键问题是,未来需要对工作培训、教育、工作职责和服务提供之间的关系进行研究。

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Case management service provision and client change.病例管理服务的提供与客户变化。
Community Ment Health J. 1988 Summer;24(2):134-42. doi: 10.1007/BF00756655.
2
Health care of the chronically mentally ill: the culture broker model.
Community Ment Health J. 1988 Fall;24(3):174-84. doi: 10.1007/BF00757135.
3
A decade of case management: a methodological review of outcome research.十年病例管理:结局研究的方法学综述
Community Ment Health J. 1991 Jun;27(3):171-88. doi: 10.1007/BF00752419.

本文引用的文献

1
Therapist-case managers: more than brokers of services.
Hosp Community Psychiatry. 1980 Nov;31(11):762-4. doi: 10.1176/ps.31.11.762.