Woy J R, Wasserman D B, Weiner-Pomerantz R
Community Ment Health J. 1981 Winter;17(4):265-76. doi: 10.1007/BF00779383.
What happens to community mental health centers when federal funding declines and then ends? Analysis of service utilization patterns over a five year period for a cohort of "graduate" community mental health centers indicates two distinct patterns. One group appeared to assure their fiscal viability by maximizing the traditional inpatient, outpatient, and emergency services while cutting back less lucrative services, such as consultation and education, home visits, and partial hospitalization. The other group maintained a balanced mix of all the services, but apparently did so at some risk to their financial status. Implications for the future of community based mental health care are discussed.
当联邦资金减少并最终终止时，社区心理健康中心会发生什么情况？对一批“成熟”社区心理健康中心五年期间服务利用模式的分析表明了两种不同的模式。一组似乎通过最大化传统的住院、门诊和急诊服务，同时削减利润较低的服务，如咨询与教育、家访和部分住院治疗，来确保其财政可行性。另一组则维持了所有服务的平衡组合，但显然这样做对其财务状况存在一定风险。文中讨论了对社区心理健康护理未来的影响。
