Roth D, Lauber B G, Crane-Ross D, Clark J A
Office of Program Evaluation and Research, Ohio Department of Mental Health, Columbus 43266-0414, USA.
Community Ment Health J. 1997 Dec;33(6):473-86. doi: 10.1023/a:1025044518508.
Legislation enacted in 1988 in Ohio, aimed at redistributing funding from state hospitals to community support services and prioritizing the funding for treatment of individuals with severe mental disabilities (SMD), raises important questions from a service system perspective. To assess the impact of this reform legislation on Ohio's mental health service delivery system, cluster analyses of community mental health service data were conducted for five yearly samples of approximately 4,000 adults with SMD. An analysis of resulting service patterns demonstrated a decrease in service clusters comprised of individuals receiving little more than medication check-ups and an increase in clusters comprised of individuals receiving combinations of two or more services. Increases were found in most community mental health services; however, in each year, approximately 50% of the sample received few services of any kind, while approximately 10% of the sample received voluminous amounts of highly individualized services.
俄亥俄州于1988年颁布的一项立法，旨在将资金从州立医院重新分配到社区支持服务，并优先为重度精神残疾（SMD）患者的治疗提供资金，这从服务系统的角度提出了重要问题。为了评估这项改革立法对俄亥俄州心理健康服务提供系统的影响，对大约4000名患有SMD的成年人的五个年度样本进行了社区心理健康服务数据的聚类分析。对由此产生的服务模式的分析表明，仅接受药物检查的个体组成的服务集群有所减少，而接受两种或更多服务组合的个体组成的集群有所增加。大多数社区心理健康服务都有所增加；然而，每年约50%的样本几乎没有接受任何类型的服务，而约10%的样本接受了大量高度个性化的服务。
