England M J, Cole R F
Washington Business Group on Health, DC, USA.
Child Adolesc Psychiatr Clin N Am. 1998 Jul;7(3):469-81, vii.
In a period of unprecedented change in the American health care system, a strong reform movement for child and family mental health services has developed in the last two decades that provides blueprints and models for the development of communities of care to provide individualized, strength-based services tailored to the needs of each child and family. To bring the spirit and substance of this reform into the twenty-first century, a two-pronged strategy is proposed, focusing on the broad implementation of value-based outcome measures and the development of skilled clinician leaders to ensure the effectiveness of the new delivery system.
在美国医疗保健系统经历前所未有的变革时期，过去二十年来，针对儿童和家庭心理健康服务已形成了一场强有力的改革运动，该运动为建立关怀社区提供了蓝图和模式，以便为每个儿童和家庭的需求提供个性化的、基于优势的服务。为将这一改革的精神和实质带入21世纪，现提出一项双管齐下的战略，重点是广泛实施基于价值的成果衡量标准，并培养有技能的临床医生领导者，以确保新的服务提供系统的有效性。
