Wittman F D, Arch M
Community Ment Health J. 1980 Spring;16(1):45-61. doi: 10.1007/BF00780666.
President Kennedy's "bold new approach" remains compelling 15 years after it was first announced. Mental health services at the community level have come a long way since the community mental health center program's establishment in 1963. Mental health manpower, advances in treatment technology, and volumes of service all have grown remarkably; but much still remains to be done to integrate community mental health services into the communities they serve in the planning of human services generally, and particularly in emphasis on preventive care. The National Council of Community Mental Health Centers Environmental Assessment Task Force has two closely related charges in these latter areas. First, to inquire into the "environmental" aspects of mental health at the community level; and, second, to explore environmental perspectives for the establishment of prevention initiatives in the delivery of services. This paper explores that charge by seeking a perspective on environment that traces the intersection of the built environment and social-interpersonal behavior with special attention to the implications for mental well-being. Implications of this perspective for community mental health center roles in community planning are considered, with reference to the establishment of preventive services.
肯尼迪总统的“大胆新举措”在首次宣布15年后仍然具有说服力。自1963年社区心理健康中心项目设立以来，社区层面的心理健康服务已经取得了长足的进步。心理健康人力、治疗技术的进步以及服务量都有了显著增长；但是，在将社区心理健康服务纳入它们所服务的社区的总体人类服务规划中，尤其是在强调预防保健方面，仍有许多工作要做。全国社区心理健康中心环境评估特别工作组在这些后两个领域有两项密切相关的任务。第一，调查社区层面心理健康的“环境”方面；第二，探索在提供服务时建立预防举措的环境视角。本文通过寻求一种环境视角来探讨这项任务，这种视角追溯了建筑环境与社会人际行为的交叉点，并特别关注其对心理健康的影响。参考预防服务的建立，考虑了这种视角对社区心理健康中心在社区规划中角色的影响。
