Transforming administrative and clinical practice in a public behavioral health system: an ethnographic assessment of the context of change.
Transforming administrative and clinical practice in a public behavioral health system: an ethnographic assessment of the context of change.
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DOI：
10.1353/hpu.0.0177
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发表时间：
2009-08
影响因子：
1.4
通讯作者：
Lamphere L
中科院分区：
文献类型：
--
作者：
Willging CE;Waitzkin H;Lamphere L
2005年7月，新墨西哥州将所有公共资助的行为健康服务交由一家私营公司管理。这项改革强调提供循证的、符合文化的服务。在过渡期间，在14个行为健康安全网机构（SNIs）对189名管理人员、工作人员和提供者进行了参与者观察和半结构化访谈。新的管理要求导致了大量的文书工作需求、支付问题和sni内部的财务压力。sni的工作人员往往缺乏循证实践和文化上合格的护理方面的知识和培训，并且认为提供此类服务的成本过高。随着改革的继续展开，政策制定者必须考虑到sni面临的挑战。sni的财务稳定性至关重要。需要努力增加循证护理和文化能力方面的培训和发展机会；sni通常缺乏资源来自己追求这些机会。
In July 2005, New Mexico placed all publicly funded behavioral health services under the management of one private corporation. This reform emphasized the provision of evidence-based, culturally competent services. Participant observation and semi-structured interviews with 189 administrators, staff, and providers were carried out in 14 behavioral health safety-net institutions (SNIs) during the transition period. New administrative requirements led to substantial paperwork demands, payment problems, and financial stress within SNIs. Personnel at the SNIs often lacked knowledge about and training in evidence-based practices and culturally competent care, and viewed the costs of delivering such services as prohibitive. Policymakers must account for the challenges that SNIs face as the reform continues to unfold. The financial stability of SNIs is of critical importance. Efforts are needed to increase training and development opportunities in evidence-based care and cultural competency; SNIs typically lack resources to pursue these opportunities on their own.
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DOI：
10.1007/s10488-006-0039-1
发表时间：
2006-05-01
影响因子：
2.6
作者：
Aarons, Gregory A.;Sawitzky, Angelina C.
通讯作者：
Sawitzky, Angelina C.
影响因子：
3.8
作者：
Hyde, PS
通讯作者：
Hyde, PS
DOI：
10.1023/b:mhsr.0000024351.12294.65
发表时间：
2004-06-01
期刊：
Mental health services research
影响因子：
--
作者：
Aarons, Gregory A
通讯作者：
Aarons, Gregory A
DOI：
10.1016/s0899-3289(99)00003-6
发表时间：
1998-01-01
期刊：
JOURNAL OF SUBSTANCE ABUSE
影响因子：
--
作者：
Meyers, RJ;Mille, WR;Tonigan, JS
通讯作者：
Tonigan, JS
影响因子：
9.7
作者：
Gray, BH;Rowe, C
通讯作者：
Rowe, C