Sheldon-Keller A E, Koch J R, Watts A C, Leaf P J
University of Virginia, Charlottesville 22901, USA.
Community Ment Health J. 1996 Oct;32(5):481-95. doi: 10.1007/BF02251047.
The problems of the delivery of mental health and social services to rural children and adolescents encapsulate many of the problems in the larger health care system. Consequently, many of the principles underlying the President's Health Security Plan are applicable to the reformation of this more specialized service system. The experience of the Commonwealth of Virginia in implementing the Comprehensive Services Act (CSA) highlights the scope of vision needed to transform an existing service delivery system into a coordinated system of care on a state-wide scale.
为农村儿童和青少年提供心理健康及社会服务所面临的问题，集中体现了更大范围医疗保健系统中的诸多问题。因此，总统医疗保障计划所依据的许多原则适用于这一更为专门化的服务体系的改革。弗吉尼亚州在实施《综合服务法案》（CSA）方面的经验，凸显了将现有的服务提供体系转变为全州范围内协调一致的照护体系所需的视野范围。
