Cherniss C
Community Ment Health J. 1977 Summer;13(2):133-41. doi: 10.1007/BF01410882.
A primary prevention program, initiated in a community mental health center, never became fully operational. Analysis suggests that failure to include recipients in initial planning, an unrealistic time table, insufficient institutional support for innovation, the project leader's organizational marginality, and the institutional constraints created by commitment to direct treatment of troubled individuals were factors that contributed to the project's failure. Several recommendations are presented. The most novel and important one is that systems-oriented, preventive mental health work should be based in a separate, distinct institution.
一个在社区心理健康中心启动的初级预防项目从未完全投入运作。分析表明，在初始规划中未让接受者参与、时间表不切实际、对创新缺乏足够的机构支持、项目负责人在组织中的边缘地位以及因致力于直接治疗有问题的个体而产生的机构限制等因素导致了该项目的失败。文中提出了一些建议。其中最新颖且最重要的一点是，面向系统的预防性心理健康工作应基于一个独立、独特的机构开展。
