Hadley T R, Culhane D P
Department of Psychiatry, University of Pennsylvania, Philadelphia 19104-2648.
Community Ment Health J. 1993 Apr;29(2):95-102. doi: 10.1007/BF00756335.
This study tracks the 761 community mental health centers which received federal grants as of 1981 and assesses their status 10 years after the shift to Block Grant financing. Contrary to what had been predicted (Biegel, 1982), the vast majority of centers remained open (88.3%), a small proportion were involved in mergers (8.5%) and an even smaller percentage closed (3.3%). No pattern was evident as to which centers closed or merged by type of initial funding, although some states showed a concentration of mergers and closures. Data from the 1988 Inventory of Mental Health Organizations are used to characterize the centers still in operation by facility type, ownership, service mix and revenue mix. In 1988, federally funded CMHCs accounted for 34% of the total patient episodes treated and 22.7% of the total revenues reported by specialty mental health providers in the United States.
本研究追踪了截至1981年获得联邦拨款的761家社区心理健康中心，并评估了它们在转向整笔拨款融资10年后的状况。与之前的预测（比格尔，1982年）相反，绝大多数中心仍在营业（88.3%），一小部分参与了合并（8.5%），关闭的比例更小（3.3%）。按初始资金类型来看，哪些中心关闭或合并并无明显模式，不过一些州出现了合并和关闭集中的情况。1988年心理健康组织清单中的数据被用于按设施类型、所有权、服务组合和收入组合来描述仍在运营的中心的特征。1988年，由联邦资助的社区心理健康中心占美国专业心理健康服务提供者治疗的患者总人次的34%，以及报告的总收入的22.7%。
