Andrulis D P, Mazade N A
Hosp Community Psychiatry. 1983 Jul;34(7):601-6. doi: 10.1176/ps.34.7.601.
Mental health programs always reflect changes in the political environment. For instance, under the Carter administration the President's Commission on Mental Health displayed great interest in reforming the community mental health center service system, expanding mental health research, and developing a new national health insurance package. In contrast, the Reagan administration has sought to minimize the federal government's role in operating many health programs. The authors examine the repercussions that block grants and reduced federal funds will have on mental health research, training, and insurance policies. Competition for funding between community mental health centers and state hospitals, future strategies for mental health services, and fundamental policy questions are also discussed.
心理健康项目总是反映出政治环境的变化。例如，在卡特政府时期，总统心理健康委员会对改革社区心理健康中心服务体系、扩大心理健康研究以及制定新的国家医疗保险计划表现出极大兴趣。相比之下，里根政府试图尽量减少联邦政府在许多卫生项目运营中的作用。作者研究了整笔拨款和联邦资金削减对心理健康研究、培训及保险政策将产生的影响。还讨论了社区心理健康中心与州立医院之间的资金竞争、心理健康服务的未来策略以及基本政策问题。
