Koch J R, Lewis A, McCall D
Virginia Department of Mental Health, Mental Retardation, and Substance Abuse Services, Richmond 23218, USA.
J Behav Health Serv Res. 1998 May;25(2):151-62. doi: 10.1007/BF02287477.
Increasing demands for accountability in the delivery of public mental health services are engendering organized systems of treatment outcome monitoring. As such systems are designed and implemented, it is critical that key stakeholders be involved to the greatest extent possible in developing assessment instruments and methodologies so as to ensure relevance and acceptability of the outcome management system. A multistakeholder-based initiative for developing standardized outcome assessment for public mental health services in Virginia is described. Key components of the initiative include the process by which stakeholders were enlisted, the identification of recommended assessment instruments, and a pilot project that began the evaluation of the feasibility, utility, and cost-benefit of using the instruments. To illustrate features of this initiative, the child/adolescent mental health pilot project is described in detail. Implications for behavioral health administrators and next steps for Virginia's outcome management system are discussed, highlighting the role of key stakeholders.
对公共心理健康服务提供过程中问责制的需求不断增加，正催生有组织的治疗效果监测系统。在设计和实施此类系统时，关键利益相关者尽可能最大程度地参与开发评估工具和方法至关重要，以确保结果管理系统的相关性和可接受性。本文描述了一项基于多利益相关者的倡议，旨在为弗吉尼亚州的公共心理健康服务开发标准化的结果评估。该倡议的关键组成部分包括招募利益相关者的过程、推荐评估工具的确定，以及一个开始评估使用这些工具的可行性、实用性和成本效益的试点项目。为说明该倡议的特点，详细描述了儿童/青少年心理健康试点项目。讨论了对行为健康管理人员的影响以及弗吉尼亚州结果管理系统的下一步措施，突出了关键利益相关者的作用。
